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Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter

HCPCS code

Similar Codes


ICD10CM codes

Y65.52 - Performance of procedure (operation) on patient not scheduled for surgery
Z53.21 - Procedure and treatment not carried out due to patient leaving prior to being seen by health care pr
Z53.20 - Procedure and treatment not carried out because of patient's decision for unspecified reasons
Z53 - Persons encountering health services for specific procedures and treatment, not carried out
Z41.9 - Encounter for procedure for purposes other than remedying health state, unspecified
Z53.2 - Procedure and treatment not carried out because of patient's decision for other and unspecified reas
Z53.9 - Procedure and treatment not carried out, unspecified reason
Z53.29 - Procedure and treatment not carried out because of patient's decision for other reasons
Z04.9 - Encounter for examination and observation for unspecified reason
Z04 - Encounter for examination and observation for other reasons

HCPCS codes

G8540 - Functional outcome assessment not documented as being performed, documentation the patient is not el
G8541 - Functional outcome assessment using a standardized tool not documented, reason not given
G9227 - Functional outcome assessment documented, care plan not documented, documentation the patient is not
G8442 - Pain assessment not documented as being performed, documentation the patient is not eligible for a p
G8542 - Functional outcome assessment using a standardized tool is documented; no functional deficiencies id
G8543 - Documentation of a positive functional outcome assessment using a standardized tool; care plan not d
G9918 - Functional status not performed, reason not otherwise specified
G8939 - Pain assessment documented as positive, follow-up plan not documented, documentation the patient is
G8535 - Elder maltreatment screen not documented; documentation that patient is not eligible for the elder m
G8509 - Pain assessment documented as positive using a standardized tool, follow-up plan not documented, rea

CPT4 codes

96160 - Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) wi
96161 - Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for
0370T - Family adaptive behavior treatment guidance, administered by physician or other qualified health car
1170F - Functional status assessed (COA) (RA)
1055F - Visual functional status assessed (EC)
99499 - Unlisted evaluation and management service
1124F - Advance Care Planning discussed and documented in the medical record, patient did not wish or was no
97172 - Re-evaluation of athletic training established plan of care requiring these components: An assessmen
99024 - Postoperative follow-up visit, normally included in the surgical package, to indicate that an evalua
1175F - Functional status for dementia assessed and results reviewed (DEM)