How To Use HCPCS Code G8992

HCPCS code G8992 describes a specific type of physical or occupational therapy primary functional limitation at the time of discharge from therapy or to end reporting. This code is used to indicate the status of a patient’s functional limitation when they are discharged from therapy.

1. What is HCPCS G8992?

HCPCS code G8992 is used to identify other physical or occupational therapy primary functional limitations at the time of discharge from therapy or to end reporting. It is important to note that this code was terminated on December 31, 2019, and is no longer in use.

2. Official Description

The official description of HCPCS code G8992 is “Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting.” The short description for this code is “Other pt/ot d/c status.”

3. Procedure

1. During the patient’s therapy sessions, the therapist will assess their functional limitations and progress.
2. When the patient is ready to be discharged from therapy or the reporting period ends, the therapist will evaluate their primary functional limitation.
3. The therapist will determine the appropriate code to represent the patient’s specific functional limitation at the time of discharge.
4. This code, G8992, is used to indicate other physical or occupational therapy primary functional limitations.

4. When to use HCPCS code G8992

HCPCS code G8992 should be used when documenting the discharge status of a patient’s physical or occupational therapy primary functional limitation. It is important to use this code accurately and in accordance with the specific guidelines and eligibility criteria set forth by the healthcare provider or payer.

5. Billing Guidelines and Documentation Requirements

When billing for services or supplies related to HCPCS code G8992, healthcare providers should ensure that the necessary documentation is in place. This may include detailed records of the patient’s therapy sessions, progress notes, and any other relevant documentation that supports the use of this code.

6. Historical Information and Code Maintenance

HCPCS code G8992 was added to the Healthcare Common Procedure Coding System on January 01, 2013. It had an effective date of January 01, 2020, indicating that it was terminated at the end of 2019. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

It is important to note that the coverage and reimbursement for HCPCS code G8992 may vary depending on the specific insurance provider or payer. Medicare and other insurers may have specific guidelines and pricing indicators for this code. Providers should consult the appropriate coding and billing resources to determine the coverage and reimbursement policies for this code.

8. Examples

Here are five examples of when HCPCS code G8992 may be used:

1. A patient is discharged from physical therapy after completing treatment for a knee injury. The therapist determines that the patient has a primary functional limitation in range of motion at the time of discharge, and uses code G8992 to indicate this.
2. An occupational therapy patient completes a series of sessions to improve their fine motor skills. The therapist determines that the patient has a primary functional limitation in dexterity at the time of discharge, and uses code G8992 to indicate this.
3. A patient receives physical therapy for a back injury. The therapist determines that the patient has a primary functional limitation in strength at the time of discharge, and uses code G8992 to indicate this.
4. An occupational therapy patient completes treatment for a hand injury. The therapist determines that the patient has a primary functional limitation in grip strength at the time of discharge, and uses code G8992 to indicate this.
5. A patient undergoes physical therapy for a shoulder injury. The therapist determines that the patient has a primary functional limitation in range of motion at the time of discharge, and uses code G8992 to indicate this.