G8694 Lvef <=40%
Also known as: LVEF ≤40%, Reduced ejection fraction, Cardiomyopathy
Documentation that left ventricular ejection fraction (LVEF) is 40% or less, indicating moderate to severe systolic heart dysfunction.
In Plain Language
Heart pump weakened; only 40% or less working efficiently; Significant heart function loss
Clinical Context
Quality measure documenting reduced left ventricular ejection fraction, diagnostic for systolic heart failure with reduced ejection fraction (HFrEF) requiring specific therapeutic interventions.
RVU Information
CPT G8694 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 G8694?
CPT G8694 (Lvef <=40%) is a G Codes code. Documentation that left ventricular ejection fraction (LVEF) is 40% or less, indicating moderate to severe systolic heart dysfunction.
Who uses CPT code G8694?
CPT G8694 is used by Cardiology, Internal Medicine, Heart Failure. Quality measure documenting reduced left ventricular ejection fraction, diagnostic for systolic heart failure with reduced ejection fraction (HFrEF) requiring specific therapeutic interventions.
When is CPT G8694 used?
Quality measure documenting reduced left ventricular ejection fraction, diagnostic for systolic heart failure with reduced ejection fraction (HFrEF) requiring specific therapeutic interventions.
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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.