G8474 Ace/arb not rx'd; doc reas
Also known as: ACE/ARB not prescribed with reason, Documented contraindication, Clinical exception documented
Documentation that Angiotensin-Converting Enzyme (ACE) inhibitor or Angiotensin II Receptor Blocker (ARB) therapy was not prescribed with documented medical reason for non-prescribing.
In Plain Language
Blood pressure medication not prescribed for medical reason; Clinical reason documented for no ACE/ARB
Clinical Context
Quality measure documentation indicating that ACE inhibitors or ARBs were appropriately withheld due to contraindications such as pregnancy, bilateral renal artery stenosis, severe hyperkalemia, or angioedema history.
RVU Information
CPT G8474 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.
Specialties
Frequently Asked Questions
What is CPT code G8474?
CPT G8474 (Ace/arb not rx'd; doc reas) is a G Codes code. Documentation that Angiotensin-Converting Enzyme (ACE) inhibitor or Angiotensin II Receptor Blocker (ARB) therapy was not prescribed with documented medical reason for non-prescribing.
Who uses CPT code G8474?
CPT G8474 is used by Cardiology, Nephrology, Internal Medicine. Quality measure documentation indicating that ACE inhibitors or ARBs were appropriately withheld due to contraindications such as pregnancy, bilateral renal artery stenosis, severe hyperkalemia, or angioedema history.
When is CPT G8474 used?
Quality measure documentation indicating that ACE inhibitors or ARBs were appropriately withheld due to contraindications such as pregnancy, bilateral renal artery stenosis, severe hyperkalemia, or angioedema history.
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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.