G8942 Doc fcn/care plan with 30 days
Also known as: functional assessment documented, care plan established, functional status evaluation
Performance measure indicating documented functional status and care plan established within 30 days of patient enrollment in chronic disease management program.
In Plain Language
doctor assessed what patient can do and made a treatment plan; functional ability and care plan documented
Clinical Context
Quality measure for care coordination programs documenting that baseline functional assessment and comprehensive care plan are established early in chronic disease management.
RVU Information
CPT G8942 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 G8942?
CPT G8942 (Doc fcn/care plan with 30 days) is a G Codes code. Performance measure indicating documented functional status and care plan established within 30 days of patient enrollment in chronic disease management program.
Who uses CPT code G8942?
CPT G8942 is used by Care Coordination, Primary Care, Case Management. Quality measure for care coordination programs documenting that baseline functional assessment and comprehensive care plan are established early in chronic disease management.
When is CPT G8942 used?
Quality measure for care coordination programs documenting that baseline functional assessment and comprehensive care plan are established early in chronic disease management.
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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.