How To Use HCPCS Code G8986

HCPCS code G8986 describes a specific functional limitation related to carrying, moving, and handling objects. This code is used to indicate the discharge status of a patient from therapy or to mark the end of reporting for this particular limitation. It is important for medical coders to understand the meaning and usage of this code in order to accurately document and bill for the services provided.

1. What is HCPCS G8986?

HCPCS code G8986 is a unique identifier used in medical coding to represent a specific functional limitation related to carrying, moving, and handling objects. This code is used to indicate the discharge status of a patient from therapy or to mark the end of reporting for this particular limitation. It provides valuable information about the patient’s ability to perform tasks involving the carrying, moving, and handling of objects.

2. Official Description

The official description of HCPCS code G8986 is “Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting.” This description accurately reflects the purpose and usage of this code.

3. Procedure

1. During the therapy session, the healthcare provider assesses the patient’s ability to carry, move, and handle objects.
2. If the patient has a functional limitation in this area, the provider documents this information in the patient’s medical record.
3. When the patient is discharged from therapy or the reporting period for this limitation ends, the provider assigns HCPCS code G8986 to indicate the discharge status or end of reporting.

4. When to use HCPCS code G8986

HCPCS code G8986 should be used when a patient has a functional limitation specifically related to carrying, moving, and handling objects. This code is used to indicate the discharge status of the patient from therapy or to mark the end of reporting for this particular limitation. It is important to accurately document and code this limitation to ensure proper reimbursement and continuity of care.

5. Billing Guidelines and Documentation Requirements

When billing for services related to HCPCS code G8986, healthcare providers need to document the patient’s functional limitation in carrying, moving, and handling objects. This documentation should include details about the patient’s specific limitations, the impact on their daily activities, and any interventions or therapies provided to address this limitation. Proper documentation is essential for accurate coding and billing.

6. Historical Information and Code Maintenance

HCPCS code G8986 was added to the Healthcare Common Procedure Coding System on January 01, 2013. It has an effective date of January 01, 2020, indicating that it is still 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 to the code to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

The coverage and reimbursement for HCPCS code G8986 may vary depending on the specific insurance provider. Medicare coverage for this code is determined by the carrier’s judgment, indicated by the coverage code C. It is important for healthcare providers to verify the coverage and reimbursement policies of each insurance provider to ensure proper billing and reimbursement.

8. Examples

Here are five examples of scenarios where HCPCS code G8986 should be billed:

1. A patient undergoes physical therapy for a shoulder injury and has a functional limitation in carrying and moving objects. HCPCS code G8986 is used to indicate the discharge status from therapy.
2. A patient with a chronic back condition receives occupational therapy to improve their ability to handle objects. HCPCS code G8986 is used to mark the end of reporting for this limitation.
3. A patient with a neurological disorder undergoes therapy to improve their ability to carry and move objects. HCPCS code G8986 is used to indicate the discharge status from therapy.
4. A patient with a musculoskeletal condition receives physical therapy to address their limitations in carrying and moving objects. HCPCS code G8986 is used to mark the end of reporting for this limitation.
5. A patient with a recent surgery undergoes rehabilitation therapy to regain their ability to handle objects. HCPCS code G8986 is used to indicate the discharge status from therapy.