HCPCS code G8854 — Reas no adhere therapy.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
G8854
ActiveReas no adhere therapy
Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2024
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.