G8543 Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given

Short descriptor: Cur funct asses; no care pln

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G8543 is the HCPCS Level II code for Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Medicare Coverage
Carrier judgment (code C)
Part B Pricing
Not separately priced by Part B (indicator 00)
Type of Service
Medical care
Effective Date
2023-01-01
2026 Maintenance
No change this year

References

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Reference G8543 with the canonical source and edition:

G8543 — Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G8543

Canonical URL: https://icd10codingpro.com/hcpcs-codes/G8543

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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