How To Use HCPCS Code G8999

HCPCS code G8999 describes the current status of motor speech functional limitation at the therapy episode outset and at reporting intervals. This code is used to indicate the level of impairment in motor speech function for patients undergoing therapy. In this article, we will explore the details of HCPCS code G8999, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G8999?

HCPCS code G8999 is used to identify the current status of motor speech functional limitation at the therapy episode outset and at reporting intervals. It provides information on the level of impairment in motor speech function for patients undergoing therapy.

2. Official Description

The official description of HCPCS code G8999 is “Motor speech functional limitation, current status at therapy episode outset and at reporting intervals.” The short description for this code is “Motor speech current status.”

3. Procedure

1. The provider assesses the patient’s motor speech function at the therapy episode outset.
2. The provider documents the current status of motor speech functional limitation.
3. Throughout the therapy sessions, the provider periodically reassesses the patient’s motor speech function at reporting intervals.
4. The provider updates the documentation with the current status of motor speech functional limitation.

4. When to use HCPCS code G8999

HCPCS code G8999 should be used when the provider needs to report the current status of motor speech functional limitation at the therapy episode outset and at reporting intervals. It is typically used for patients undergoing therapy for motor speech impairments.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8999, healthcare providers need to document the patient’s motor speech functional limitation at the therapy episode outset and at reporting intervals. The documentation should include a detailed description of the patient’s motor speech impairments and any changes observed during therapy sessions.

6. Historical Information and Code Maintenance

HCPCS code G8999 was added to the Healthcare Common Procedure Coding System on January 01, 2013. It has a termination date of December 31, 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

The coverage for HCPCS code G8999 is determined by the carrier’s judgment (HCPCS Coverage Code: C). The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. It may be bundled with other services or not covered by Medicare. The multiple pricing indicator code is 9, which indicates that the value for pricing this code is not established.

8. Examples

Here are five examples of when HCPCS code G8999 should be billed:

1. A patient with a history of stroke undergoes speech therapy to improve motor speech function. The therapist assesses the patient’s motor speech functional limitation at the therapy episode outset and periodically reassesses it at reporting intervals.
2. A child with a developmental delay receives speech therapy to address motor speech impairments. The therapist documents the current status of motor speech functional limitation at the therapy episode outset and updates it at reporting intervals.
3. An adult with Parkinson’s disease undergoes speech therapy to manage motor speech difficulties. The therapist evaluates the patient’s motor speech function at the therapy episode outset and tracks any changes during the reporting intervals.
4. A patient recovering from a traumatic brain injury receives speech therapy to regain motor speech abilities. The therapist assesses the patient’s motor speech functional limitation at the therapy episode outset and monitors progress at reporting intervals.
5. An individual with a congenital speech disorder undergoes therapy to improve motor speech function. The therapist documents the current status of motor speech functional limitation at the therapy episode outset and updates it at reporting intervals.