G8854 Reas no adhere therapy
Also known as: reason for non-adherence documented, adherence barrier documented
Performance measure indicating documented medical reasons explaining why the patient did not adhere to prescribed therapy.
In Plain Language
doctor documented why patient couldn't take medicine as prescribed; documented barriers to taking medications
Clinical Context
Used to capture clinical documentation when patients cannot follow their medication regimen due to medical contraindications, side effects, or other clinical reasons.
RVU Information
CPT G8854 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 G8854?
CPT G8854 (Reas no adhere therapy) is a G Codes code. Performance measure indicating documented medical reasons explaining why the patient did not adhere to prescribed therapy.
Who uses CPT code G8854?
CPT G8854 is used by Primary Care, Pharmacy, Quality Reporting. Used to capture clinical documentation when patients cannot follow their medication regimen due to medical contraindications, side effects, or other clinical reasons.
When is CPT G8854 used?
Used to capture clinical documentation when patients cannot follow their medication regimen due to medical contraindications, side effects, or other clinical reasons.
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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.