G8451 HCPCS Level II Code: Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive…
Medicare Coverage & Payment
- CMS short descriptor: Pt w/abn lvef inelig b-bloc
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: M5D — Specialist - other
- Last CMS action effective: January 1, 2023
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Contextual Map
Every relationship of G8451 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G8404 — Lower extremity neurological exam performed and documented[Sibling]— CMS HCPCS Level II code set
- G8405 — Lower extremity neurological exam not performed[Sibling]— CMS HCPCS Level II code set
- G8406 — Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure[Sibling]— CMS HCPCS Level II code set
- G8410 — Footwear evaluation performed and documented[Sibling]— CMS HCPCS Level II code set
- G8415 — Footwear evaluation was not performed[Sibling]— CMS HCPCS Level II code set
- G8416 — Clinician documented that patient was not an eligible candidate for footwear evaluation measure[Sibling]— CMS HCPCS Level II code set
- G8417 — Bmi is documented above normal parameters and a follow-up plan is documented[Sibling]— CMS HCPCS Level II code set
- G8418 — Bmi is documented below normal parameters and a follow-up plan is documented[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2008 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2008Added to the code setBeta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G8451 in its code family, with their registry titles.
- G8431 — Screening for depression is documented as being positive and a follow-up plan is documented
- G8432 — Depression screening not documented, reason not given
- G8433 — Screening for depression not completed, documented patient or medical reason
- G8442 — Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter
- G8450 — Beta-blocker therapy prescribed
- G8452 — Beta-blocker therapy not prescribed
- G8458 — Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done…
- G8460 — Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c
- G8461 — Patient receiving antiviral treatment for hepatitis c during the measurement period
- G8464 — Clinician documented that prostate cancer patient is not an eligible candidate for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk of recurrence not determined