G8937 No prescription ace/arb therapy
Also known as: ACE/ARB not prescribed, missed heart failure therapy
Performance measure indicating ACE inhibitor or ARB therapy was not prescribed without documented contraindication.
In Plain Language
patient should have received this heart medicine but did not; guideline-recommended therapy not given
Clinical Context
Tracks instances where guideline-recommended ACE/ARB therapy for heart failure was not prescribed without appropriate clinical justification.
RVU Information
CPT G8937 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 G8937?
CPT G8937 (No prescription ace/arb therapy) is a G Codes code. Performance measure indicating ACE inhibitor or ARB therapy was not prescribed without documented contraindication.
Who uses CPT code G8937?
CPT G8937 is used by Cardiology, Quality Reporting, Heart Failure. Tracks instances where guideline-recommended ACE/ARB therapy for heart failure was not prescribed without appropriate clinical justification.
When is CPT G8937 used?
Tracks instances where guideline-recommended ACE/ARB therapy for heart failure was not prescribed without appropriate clinical justification.
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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.