Reas no adhere therapy
Full descriptor
Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)
Details
- Code
- G8854
- Short descriptor
- Reas no adhere therapy
- Code set
- HCPCS Level II
- Release
- July 2026
- Status
- Active
- Added
- Jan 1 2012
Nearby codes
Code sets are published in blocks, so neighbours are usually related.
Ther not assessed annually
Ref for oto eval
Adhere tx assess at lst ann
No elig ref for oto eval
No pap prescribed
Not ref for oto eval
Doc reas no pos air press
Mod or severe osa
Sources
- CMS HCPCS Level II — July 2026, public domain
Reference information only. Not billing advice. Verify against the payer before you file.