G8867 No pneumococcal administration
Also known as: pneumococcal vaccine not administered, pneumococcal vaccination missed
Performance measure indicating pneumococcal vaccine was not administered and no reason was documented.
In Plain Language
patient did not receive pneumonia vaccine; pneumococcal shot was not given
Clinical Context
Captures instances where pneumococcal vaccination was not completed without documentation of medical or patient reasons, indicating potential gap in care.
RVU Information
CPT G8867 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 G8867?
CPT G8867 (No pneumococcal administration) is a G Codes code. Performance measure indicating pneumococcal vaccine was not administered and no reason was documented.
Who uses CPT code G8867?
CPT G8867 is used by Primary Care, Care Quality, Quality Reporting. Captures instances where pneumococcal vaccination was not completed without documentation of medical or patient reasons, indicating potential gap in care.
When is CPT G8867 used?
Captures instances where pneumococcal vaccination was not completed without documentation of medical or patient reasons, indicating potential gap in care.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.