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G8601 No elig tpa initial with in 4.5 hour

G Codes

Also known as: Not eligible for tPA, tPA contraindicated, Outside thrombolysis window

Documentation that patient is not eligible for tissue plasminogen activator (tPA) thrombolytic therapy within the 4.5-hour window.

In Plain Language

Patient can't have clot-busting drug; Not a candidate for thrombolytic therapy

Clinical Context

Quality measure documenting clinical ineligibility for thrombolytic therapy due to contraindications or presentation outside therapeutic window.

RVU Information

CPT G8601 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

NeurologyEmergency Medicine

Frequently Asked Questions

What is CPT code G8601?

CPT G8601 (No elig tpa initial with in 4.5 hour) is a G Codes code. Documentation that patient is not eligible for tissue plasminogen activator (tPA) thrombolytic therapy within the 4.5-hour window.

Who uses CPT code G8601?

CPT G8601 is used by Neurology, Emergency Medicine. Quality measure documenting clinical ineligibility for thrombolytic therapy due to contraindications or presentation outside therapeutic window.

When is CPT G8601 used?

Quality measure documenting clinical ineligibility for thrombolytic therapy due to contraindications or presentation outside therapeutic window.

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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.