G8843 HCPCS - DOCUMENTATION OF REASON(S) FOR NOT MEASURING AN APNEA HYPOPNEA INDEX (AHI), A RESPIRATORY DISTURBANCE INDEX (RDI), OR A RESPIRATORY EVENT INDEX (REI) WITHIN 2 MONTHS OF INITIAL EVALUATION FOR SUSPECTED OBSTRUCTIVE SLEEP APNEA (E.G., MEDICAL, NEUROLOGICAL, OR PSYCHIATRIC DISEASE THAT PROHIBITS SUCCESSFUL COMPLETION OF A SLEEP STUDY, PATIENTS FOR WHOM A SLEEP STUDY WOULD PRESENT A BIGGER RISK THAN BENEFIT OR WOULD POSE AN UNDUE BURDEN, DEMENTIA, PATIENTS WHO DECLINE AHI/RDI/REI MEASUREMENT, PATIENTS WHO HAD A FINANCIAL REASON FOR NOT COMPLETING TESTING, TEST WAS ORDERED BUT NOT COMPLETED, PATIENTS DECLINE BECAUSE THEIR INSURANCE (PAYER) DOES NOT COVER THE EXPENSE))

Code Information

  • HCPCS Code: G8843
  • Sequence Number: 0010
  • Short Description: Doc reas no ahi or rdi
  • Long Description: Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months of initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense))
  • Date Added: 1/1/2012
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2023
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: M5B - Specialist - psychiatry
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G8843
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months of initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense))
      HCPCS Short Description Doc reas no ahi or rdi
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code M5B - Specialist - psychiatry
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2012
      HCPCS Action Effective Date 1/1/2023
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024