Show Menu

Functional G Codes / Severity Modifier Conversion Cheat Sheet by

function     conversion     healthcare     severity     rehabilitation     g-codes     modifier

When to Access G-Code

At start of care/t­herapy evaluation
At each progress report / once every 10 treatment visits
At time of a substa­ntial change in condition (Re-Ce­rti­fic­ation)
At time of discharge
To end reporting of one functional limitation and to begin reporting of a different functional limitation
If the patient is seen for only one visit and further services are either (1) not medically necessary or (2) will be rendered by another provider, then all 3 codes are to be reported.

Selecting the Severity Modifier Guidelines

Use the severity modifier that reflects the score from a functional assessment tool or other perfor­mance measur­ement instrument
If multiple tools are used, clinical judgment is used to combine these results to determine a functional limitation percentage
How the severity modifier was determined must be documented in the clinical record

When to Use the “Other” Functional G-Codes

A functional limitation is not defined by one of the four catego­ries;
Therapy services are not intended to treat a functional limitation (e.g., unstable fracture or lymphe­dema) kl
A composite or global functional score is used which does not clearly represent a functional limitation defined by one of the four functional categories

G-Codes & Categories

Func­tional Area
Eval
Goal
Disc­harge
Mobility: Walking & Moving Around
G8978
G8979
G8980
Changing & Mainta­ining Body Position
G8981
G8982
G8983
Carrying, Moving & Handling Objects
G8984
G8985
G8986
Self-Care
G8987
G8988
G8989
Other Primary Functional Limitation
G8990
G8991
G8992
Other Subsequent Functional Limitation
G8983
G8994
G8995
 

Chart

Modifier - Impairment Limitation Restri­ction

Modifier
Impa­irment Limitation Restri­ction
CH
0% impaired, limited or restricted
CI
At least 1% but less than 20% impaired, limited, or restricted
CJ
At least 20% but less than 40% impaired, limited or restricted
CK
At least 40% but less than 60% impaired, limited, or restricted
Cl
At least 60% but less than 80% impaired, limited, or restricted
CM
At least 80% but less than 100% impaired, limited, or restricted
CN
100% impaired, limited, or restricted

Download the Functional G Codes / Severity Modifier Conversion Cheat Sheet

1 Page
//media.cheatography.com/storage/thumb/davidpol_functional-g-codes-severity-modifier-conversion.750.jpg

PDF (recommended)

Alternative Downloads

Share This Cheat Sheet!

 

Comments

No comments yet. Add yours below!

Add a Comment

Your Comment

Please enter your name.

    Please enter your email address

      Please enter your Comment.

          Related Cheat Sheets

          7 Types of Incontinence Cheat Sheet
          Rehabilitation Common Abbrevations Cheat Sheet

          More Cheat Sheets by Davidpol

          CMS F-Tags and Regulatory Groups Cheat Sheet