How To Use HCPCS Code G8985

HCPCS code G8985 describes the carrying, moving, and handling of objects in relation to a projected goal status. This code is used to identify and report the provision of therapy services at the outset of a therapy episode, at reporting intervals, and at discharge or the end of reporting. It is important for medical coders to understand the specific meaning and usage of this code to ensure accurate documentation and billing.

1. What is HCPCS G8985?

HCPCS code G8985 is a specific code used in medical coding to identify and report the carrying, moving, and handling of objects in relation to a projected goal status. It is used to document therapy services provided at the beginning of a therapy episode, at reporting intervals, and at discharge or the end of reporting. This code helps to track and monitor the progress of patients in achieving their therapy goals.

2. Official Description

The official description of HCPCS code G8985 is “Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting.” The short description for this code is “Carry goal status.”

3. Procedure

1. The provider assesses the therapy goals of the patient at the beginning of the therapy episode.
2. Throughout the therapy episode, the provider carries out activities related to carrying, moving, and handling objects to help the patient achieve their therapy goals.
3. At reporting intervals, the provider documents the progress of the patient’s goal status in relation to the carrying, moving, and handling of objects.
4. At discharge or the end of reporting, the provider evaluates the overall achievement of the therapy goals and documents the final goal status.

4. When to use HCPCS code G8985

HCPCS code G8985 should be used when therapy services involve the carrying, moving, and handling of objects to achieve a projected goal status. It is important to ensure that the therapy services align with the specific criteria and guidelines for using this code. Medical coders should review the patient’s medical records and therapy documentation to determine if the use of this code is appropriate.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8985, healthcare providers need to document the therapy services provided, including details of the carrying, moving, and handling of objects. The documentation should clearly indicate the projected goal status, the therapy episode outset, reporting intervals, and discharge or end of reporting. It is important to provide sufficient information to support the medical necessity and appropriateness of the therapy services.

6. Historical Information and Code Maintenance

HCPCS code G8985 was added to the Healthcare Common Procedure Coding System on January 1, 2013. It has an effective date of January 1, 2020, indicating that it is still currently in use. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important for medical coders to stay updated on any changes or revisions related to this code.

7. Medicare and Insurance Coverage

HCPCS code G8985 may be covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the service may be bundled or not covered by Medicare. The multiple pricing indicator code is 9, which means that it is not applicable as HCPCS is not priced separately by Part B. Medical coders should review the specific guidelines and policies of Medicare and other insurance providers to determine the coverage and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code G8985 should be billed:

1. A physical therapist assists a patient in carrying and moving objects as part of their therapy to improve upper body strength.
2. An occupational therapist helps a patient with the handling of objects to enhance fine motor skills and dexterity.
3. A speech therapist incorporates activities involving the carrying and moving of objects to improve oral motor skills and swallowing abilities.
4. A rehabilitation therapist guides a patient in the proper techniques of lifting and moving objects to prevent further injury and promote functional independence.
5. A therapy team collaborates to develop a plan that includes carrying, moving, and handling objects to help a patient regain mobility and independence after a surgery.