G0043 Pt mech pros ht valv
Also known as: mechanical heart valve patient, prosthetic valve quality code
Patient with mechanical prosthetic heart valve, used for quality measure stratification and anticoagulation management reporting.
In Plain Language
patient has a mechanical heart valve replacement
Clinical Context
Quality measure code identifying patients with mechanical valves who require lifelong anticoagulation with warfarin.
RVU Information
CPT G0043 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Frequently Asked Questions
What is CPT code G0043?
CPT G0043 (Pt mech pros ht valv) is a G Codes code. Patient with mechanical prosthetic heart valve, used for quality measure stratification and anticoagulation management reporting.
Who uses CPT code G0043?
CPT G0043 is used by multiple specialties. Quality measure code identifying patients with mechanical valves who require lifelong anticoagulation with warfarin.
When is CPT G0043 used?
Quality measure code identifying patients with mechanical valves who require lifelong anticoagulation with warfarin.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.