Functional outcomes assessment using a standardized tool is documented within the previous 30 days and care plan, based on identified deficiencies on the date of the functional outcome assessment, is documented
HCPCS code
Name of the Procedure:
Functional Outcomes Assessment Using a Standardized Tool (HCPCS Code G8942)
Summary
A functional outcomes assessment using a standardized tool evaluates a patient's physical and mental abilities. It identifies any deficiencies and helps in formulating a personalized care plan. The assessment and care plan documentation should be within the previous 30 days.
Purpose
Functional outcomes assessments address various medical conditions and problems, including mobility issues, cognitive impairments, and physical disabilities. The goals are to identify deficits and create an effective care plan to improve the patient's quality of life and functional abilities.
Indications
- Limited mobility or physical impairments
- Cognitive decline or mental health issues
- Chronic pain or disability
- Recovery from surgery or severe illness
- Neuromuscular problems (e.g., stroke, multiple sclerosis)
- Elderly patients for geriatric assessment
Preparation
- No specific preparation is needed for most standardized assessments.
- The patient should provide details of current medications.
- Diagnostic tests or medical history review might be required to tailor the assessment.
Procedure Description
- Initial consultation with healthcare provider.
- Administration of a standardized assessment tool (e.g., questionnaires, physical tests).
- Evaluation of mobility, cognitive function, mental health, or other specific areas.
- Documentation of the assessment's findings.
- Formulation of a care plan addressing identified deficiencies.
- Discussion of the care plan with the patient and possible caregivers.
Duration
The assessment procedure typically takes 30 to 60 minutes, depending on the complexity and areas being evaluated.
Setting
This procedure can be performed in various settings, including:
- Outpatient clinics
- Hospitals
- Rehabilitation centers
- Specialized assessment facilities
Personnel
- Primary care physician
- Rehabilitation specialist
- Physical therapist
- Occupational therapist
- Other healthcare professionals as needed
Risks and Complications
- Minimal risks involved as it is a non-invasive assessment.
- Potential discomfort from physical tests.
- Rarely, emotional stress during cognitive or mental health evaluation.
Benefits
- Identification of functional deficits and formulation of personalized care plans.
- Improved patient outcomes and quality of life.
- Enhanced ability to perform daily activities.
- Progress tracking over time to adjust care as needed.
Recovery
- No recovery time involved as it is a non-invasive procedure.
- Follow-up visits may be scheduled to monitor progress and update care plans.
Alternatives
- Subjective self-assessment without standardized tools (less reliable).
- Functional MRI or other imaging studies for more detailed brain function (if cognitive issues are the main concern).
- Home health evaluations for patients unable to visit a clinic.
Patient Experience
- Generally well-tolerated and straightforward.
- Minor discomfort during physical tests.
- Emotional support available if discussing sensitive topics during cognitive or mental assessments.
- Clear explanation of findings and involvement in care plan formulation to ensure patient understanding and compliance.