G8942 HCPCS Level II Code: Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional…
Medicare Coverage & Payment
- CMS short descriptor: Doc fcn/care plan w/30 days
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: M5B — Specialist - psychiatry
- Last CMS action effective: January 1, 2024
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 G8942 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)
- G8918 — Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis[Sibling]— CMS HCPCS Level II code set
- G8923 — Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function[Sibling]— CMS HCPCS Level II code set
- G8924 — Spirometry results documented (fev1/fvc < 70%)[Sibling]— CMS HCPCS Level II code set
- G8925 — Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms[Sibling]— CMS HCPCS Level II code set
- G8926 — Spirometry test not performed or documented, reason not given[Sibling]— CMS HCPCS Level II code set
- G8927 — Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer[Sibling]— CMS HCPCS Level II code set
- G8928 — Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)[Sibling]— CMS HCPCS Level II code set
- G8929 — Adjuvant chemotherapy not prescribed or previously received, reason not given[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2013 — 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, 2013Added to the code setFunctional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G8942 in its code family, with their registry titles.
- G8937 — Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given
- G8938 — Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible
- G8939 — Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter
- G8940 — Screening for depression documented as positive, a follow-up plan not completed, documented reason
- G8941 — Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter
- G8943 — Ldl-c result not present or not within 12 months prior
- G8944 — Ajcc melanoma cancer stage 0 through iic melanoma
- G8946 — Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia,…
- G8947 — One or more neuropsychiatric symptoms
- G8948 — No neuropsychiatric symptoms