G8936 Pt not eligible ace/arb
Also known as: patient not eligible for ACE/ARB, ACE inhibitor contraindicated
Performance measure indicating patient was not eligible for ACE inhibitor or ARB therapy based on contraindications or clinical criteria.
In Plain Language
patient cannot take this type of heart medicine; heart medication is not safe for this patient
Clinical Context
Documents appropriate exclusion from ACE/ARB therapy due to contraindications such as bilateral renal artery stenosis, hyperkalemia, or pregnancy.
RVU Information
CPT G8936 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 G8936?
CPT G8936 (Pt not eligible ace/arb) is a G Codes code. Performance measure indicating patient was not eligible for ACE inhibitor or ARB therapy based on contraindications or clinical criteria.
Who uses CPT code G8936?
CPT G8936 is used by Cardiology, Quality Reporting. Documents appropriate exclusion from ACE/ARB therapy due to contraindications such as bilateral renal artery stenosis, hyperkalemia, or pregnancy.
When is CPT G8936 used?
Documents appropriate exclusion from ACE/ARB therapy due to contraindications such as bilateral renal artery stenosis, hyperkalemia, or pregnancy.
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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.