This document provides an overview of G codes used for outpatient therapy to report a patient's functional status. It explains that G codes should be reported at the start of care, every 10 treatment days, and at discharge to indicate the current, projected, and discharge level of functioning for mobility, body positioning, carrying, self-care, and other therapy areas. It also lists the specific G codes and modifiers codes used to record functional limitation percentages.

1. Overview of G codes for
Therapy
Cassius Lionel MBA, BPT, CPC

2. Understanding G codes
• 07/01/2013 function codes to be implemented
for all out patient therapy centers including OP
hospitals, SNF etc
• G codes to be used, At the on set of a therapy
episode of care
• At least once every 10 treatment days.
• At the time of discharge
• Report when there is a change in functional
goals/ measures

3. Understanding G codes
•Only one functional code to be reported at a
time
•Exception is when patient is being treated for 2
discipline PT and OT on the same day
•3 G codes Current, Projected and Discharge
for each functional limitation
•Other functional for OT PT to be used if the
goals are not part of 4 G codes

4. G codes for PT OT
S.No HCPCS Functional status short description
1 G8978 Mobility current status
2 G8979 Mobility goal status
3 G8980 Mobility D/C status
4 G8981 Body pos current status
5 G8982 Body pos goal status
6 G8983 Body pos D/C status
7 G8984 Carry current status
8 G8985 Carry goal status
9 G8986 Carry D/C status
10 G8987 Self care current status
11 G8988 Self care goal status
12 G8989 Self care D/C status
13 G8990 Other PT/OT current status
14 G8991 Other PT/OT goal status
15 G8992 Other PT/OT D/C status
16 G8993 Sub PT/OT current status
17 G8994 Sub PT/OT goal status
18 G8995 Sub PT/OT D/C status

5. G codes- Modifiers
Modifier Impairment Limitation restricted
CH 0 percent impaired, limited or restricted
CI At least 1 percent but less than 20 %
CJ At least 20 percent but less than 40 %
CK At least 40 percent but less than 60 %
CL At least 60 percent but less than 80 %
CM At least 80 percent but less than 100%
CN 100 percent impaired, limited or restricted

6. Saw this on a forwarded message

7. Saw this on a forwarded message