G8475 Ace/arb thxpy not rx'd
Also known as: ACE/ARB not prescribed, Therapy not initiated, No ACE/ARB documented
Documentation that Angiotensin-Converting Enzyme (ACE) inhibitor or Angiotensin II Receptor Blocker (ARB) therapy was not prescribed without documentation of medical reason.
In Plain Language
Blood pressure medication not prescribed; ACE inhibitor or ARB not given
Clinical Context
Quality measurement code identifying cases where ACE inhibitors or ARBs were not prescribed and no clinical justification was documented, potentially indicating a care gap.
RVU Information
CPT G8475 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 G8475?
CPT G8475 (Ace/arb thxpy not rx'd) is a G Codes code. Documentation that Angiotensin-Converting Enzyme (ACE) inhibitor or Angiotensin II Receptor Blocker (ARB) therapy was not prescribed without documentation of medical reason.
Who uses CPT code G8475?
CPT G8475 is used by Cardiology, Nephrology, Internal Medicine. Quality measurement code identifying cases where ACE inhibitors or ARBs were not prescribed and no clinical justification was documented, potentially indicating a care gap.
When is CPT G8475 used?
Quality measurement code identifying cases where ACE inhibitors or ARBs were not prescribed and no clinical justification was documented, potentially indicating a care gap.
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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.