List With HCPCS Codes For Additional Quality Measures

The HCPCS codes for Additional Quality Measures range from G8395 to G8635 and cover a variety of healthcare services and treatments. These codes are used to track and measure the quality of care provided to patients. Each code represents a specific measure or criteria that healthcare providers must meet in order to ensure high-quality care.

1. HCPCS Code G8395

HCPCS G8395 describes the requirement for a left ventricular ejection fraction (LVEF) of 40% or higher, or documentation of normal or mildly depressed left ventricular systolic function.

2. HCPCS Code G8396

HCPCS G8396 indicates that a left ventricular ejection fraction (LVEF) was not performed or documented.

3. HCPCS Code G8397

HCPCS G8397 represents the requirement for a dilated macular or fundus exam, including documentation of the presence or absence of macular edema and the level of severity of retinopathy.

4. HCPCS Code G8399

HCPCS G8399 indicates that a patient has documented results of a central dual-energy X-ray absorptiometry (DXA) being performed at some point.

5. HCPCS Code G8400

HCPCS G8400 represents the situation where central dual-energy X-ray absorptiometry (DXA) results are not documented, and no reason is given for this omission.

6. HCPCS Code G8404

HCPCS G8404 describes the performance and documentation of a lower extremity neurological exam.

7. HCPCS Code G8405

HCPCS G8405 indicates that a lower extremity neurological exam was not performed.

8. HCPCS Code G8410

HCPCS G8410 represents the requirement for a footwear evaluation to be performed and documented.

9. HCPCS Code G8415

HCPCS G8415 indicates that a footwear evaluation was not performed.

10. HCPCS Code G8416

HCPCS G8416 represents the situation where a clinician documents that the patient is not an eligible candidate for a footwear evaluation measure.

11. HCPCS Code G8417

HCPCS G8417 indicates that the patient’s BMI is documented above normal parameters, and a follow-up plan is documented.

12. HCPCS Code G8418

HCPCS G8418 represents the situation where the patient’s BMI is documented below normal parameters, and a follow-up plan is documented.

13. HCPCS Code G8419

HCPCS G8419 indicates that the patient’s BMI is documented outside normal parameters, but no follow-up plan is documented, and no reason is given for this omission.

14. HCPCS Code G8420

HCPCS G8420 represents the situation where the patient’s BMI is documented within normal parameters, and no follow-up plan is required.

15. HCPCS Code G8421

HCPCS G8421 indicates that the patient’s BMI is not documented, and no reason is given for this omission.

16. HCPCS Code G8427

HCPCS G8427 represents the requirement for the eligible clinician to attest to documenting in the medical record that they obtained, updated, or reviewed the patient’s current medications.

17. HCPCS Code G8428

HCPCS G8428 indicates that the current list of medications is not documented as obtained, updated, or reviewed by the eligible clinician, and no reason is given for this omission.

18. HCPCS Code G8430

HCPCS G8430 represents the documentation of a medical reason for not documenting, updating, or reviewing the patient’s current medications list, such as the patient being in an urgent or emergent medical situation.

19. HCPCS Code G8431

HCPCS G8431 indicates that screening for depression is documented as being positive, and a follow-up plan is documented.

20. HCPCS Code G8432

HCPCS G8432 represents the situation where depression screening is not documented, and no reason is given for this omission.

21. HCPCS Code G8433

HCPCS G8433 indicates that screening for depression was not completed, and the reason for this omission is either documented as being related to the patient or a medical reason.

22. HCPCS Code G8450

HCPCS G8450 represents the prescription of beta-blocker therapy.

23. HCPCS Code G8451

HCPCS G8451 indicates that beta-blocker therapy for left ventricular ejection fraction (LVEF) of 40% or lower is not prescribed, and the reason for this omission is documented by the clinician.

24. HCPCS Code G8452

HCPCS G8452 represents the situation where beta-blocker therapy is not prescribed.

25. HCPCS Code G8465

HCPCS G8465 indicates a high or very high risk of recurrence of prostate cancer.

26. HCPCS Code G8473

HCPCS G8473 represents the prescription of angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.

27. HCPCS Code G8474

HCPCS G8474 indicates that angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy is not prescribed, and the reason for this omission is documented by the clinician.

28. HCPCS Code G8475

HCPCS G8475 represents the situation where angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy is not prescribed, and no reason is given for this omission.

29. HCPCS Code G8476

HCPCS G8476 indicates that the most recent blood pressure measurement has a systolic measurement of less than 140 mmHg and a diastolic measurement of less than 90 mmHg.

30. HCPCS Code G8477

HCPCS G8477 represents the situation where the most recent blood pressure measurement has a systolic measurement of 140 mmHg or higher and/or a diastolic measurement of 90 mmHg or higher.

31. HCPCS Code G8478

HCPCS G8478 indicates that the blood pressure measurement is not performed or documented, and no reason is given for this omission.

32. HCPCS Code G8482

HCPCS G8482 represents the administration or previous receipt of influenza immunization.

33. HCPCS Code G8483

HCPCS G8483 indicates that influenza immunization was not administered, and the reason for this omission is documented by the clinician.

34. HCPCS Code G8484

HCPCS G8484 represents the situation where influenza immunization was not administered, and no reason is given for this omission.

35. HCPCS Code G8510

HCPCS G8510 indicates that screening for depression is documented as negative, and no follow-up plan is required.

36. HCPCS Code G8511

HCPCS G8511 represents the situation where screening for depression is documented as positive, but a follow-up plan is not documented, and no reason is given for this omission.

37. HCPCS Code G8535

HCPCS G8535 indicates that an elder maltreatment screen is not documented, and the reason for this omission is either because the patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or the patient is in an urgent or emergent situation where time is of the essence and performing the screening would jeopardize the patient’s health status.

38. HCPCS Code G8536

HCPCS G8536 represents the situation where no documentation of an elder maltreatment screen is found, and no reason is given for this omission.

39. HCPCS Code G8539

HCPCS G8539 indicates that a functional outcome assessment is documented as positive using a standardized tool, and a care plan based on identified deficiencies is documented within two days of the assessment.

40. HCPCS Code G8540

HCPCS G8540 represents the situation where a functional outcome assessment is not documented as being performed, and documentation is found stating that the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter.

41. HCPCS Code G8541

HCPCS G8541 indicates that a functional outcome assessment using a standardized tool is not documented, and no reason is given for this omission.

42. HCPCS Code G8542

HCPCS G8542 represents the situation where a functional outcome assessment using a standardized tool is documented, but no functional deficiencies are identified, and a care plan is not required.

43. HCPCS Code G8543

HCPCS G8543 indicates that a positive functional outcome assessment using a standardized tool is documented, but a care plan is not documented within two days of the assessment, and no reason is given for this omission.

44. HCPCS Code G8559

HCPCS G8559 represents the requirement for a patient to be referred to a physician, preferably one with training in disorders of the ear, for an otologic evaluation.

45. HCPCS Code G8560

HCPCS G8560 indicates that the patient has a history of active drainage from the ear within the previous 90 days.

46. HCPCS Code G8561

HCPCS G8561 represents the situation where the patient is not eligible for the referral for an otologic evaluation due to a history of active drainage from the ear.

47. HCPCS Code G8562

HCPCS G8562 indicates that the patient does not have a history of active drainage from the ear within the previous 90 days.

48. HCPCS Code G8563

HCPCS G8563 represents the situation where the patient is not referred to a physician, preferably one with training in disorders of the ear, for an otologic evaluation, and no reason is given for this omission.

49. HCPCS Code G8564

HCPCS G8564 indicates that the patient was referred to a physician, preferably one with training in disorders of the ear, for an otologic evaluation, but the reason for this referral is not specified.

50. HCPCS Code G8565

HCPCS G8565 represents the verification and documentation of sudden or rapidly progressive hearing loss.

51. HCPCS Code G8566

HCPCS G8566 indicates that the patient is not eligible for the referral for an otologic evaluation for sudden or rapidly progressive hearing loss.

52. HCPCS Code G8567

HCPCS G8567 represents the situation where the patient does not have verification and documentation of sudden or rapidly progressive hearing loss.

53. HCPCS Code G8568

HCPCS G8568 indicates that the patient was not referred to a physician, preferably one with training in disorders of the ear, for an otologic evaluation, and no reason is given for this omission.

54. HCPCS Code G8569

HCPCS G8569 represents the requirement for prolonged postoperative intubation, lasting more than 24 hours.

55. HCPCS Code G8570

HCPCS G8570 indicates that prolonged postoperative intubation, lasting more than 24 hours, is not required.

56. HCPCS Code G8575

HCPCS G8575 represents the situation where the patient developed postoperative renal failure or required dialysis.

57. HCPCS Code G8576

HCPCS G8576 indicates that the patient did not develop postoperative renal failure and did not require dialysis.

58. HCPCS Code G8577

HCPCS G8577 represents the requirement for re-exploration due to mediastinal bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reasons.

59. HCPCS Code G8578

HCPCS G8578 indicates that re-exploration is not required due to mediastinal bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reasons.

60. HCPCS Code G8598

HCPCS G8598 represents the use of aspirin or another antiplatelet therapy.

61. HCPCS Code G8599

HCPCS G8599 indicates that aspirin or another antiplatelet therapy is not used, and no reason is given for this omission.

62. HCPCS Code G8600

HCPCS G8600 represents the initiation of intravenous thrombolytic therapy within 4.5 hours (270 minutes) of the time last known well.

63. HCPCS Code G8601

HCPCS G8601 indicates that intravenous thrombolytic therapy was not initiated within 4.5 hours (270 minutes) of the time last known well, and the reason for this omission is documented by the clinician.

64. HCPCS Code G8602

HCPCS G8602 represents the situation where intravenous thrombolytic therapy was not initiated within 4.5 hours (270 minutes) of the time last known well, and no reason is given for this omission.

65. HCPCS Code G8633

HCPCS G8633 represents the prescription of pharmacologic therapy, other than minerals/vitamins, for osteoporosis.

66. HCPCS Code G8635

HCPCS G8635 indicates that pharmacologic therapy for osteoporosis was not prescribed, and no reason is given for this omission.