Chiropractic Coding & Compliance Alert

Reader Question:

Why Is G8730 the Most Sought After Pain Reporting Code?

Question: The provider sees a new patient. The provider does a pain assessment that includes a visual analog scale. The patient marks a pain level of 7. The doctor documents the findings, draws a treatment plan and schedules a follow up visit with intent of reassessing for pain again at that time. Which G code will be appropriate in this case scenario?

Delaware Subscriber

Answer: This scenario reflects a common patient encounter in a chiropractic practice. The appropriate G code would be G8730 (Pain assessment documented as positive using a standardized tool and a follow-up plan is documented.)

Since this is one of the most frequently used codes, familiarity with G8730 is highly recommended.

Remember: When billing Medicare, you must include an assessment code.