HCPCS code G8427: Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications

Properly use and bill for HCPCS code G8427. Check out our short guide with documentation and billing requirements.

## **What is G8427?** HCPCS code G8427 is a non-reimbursed quality reporting code used to report that a provider has performed the necessary action for the quality measure "Documentation of Current Medications in the Medical Record." It means that the eligible clinician attests that they have obtained, updated, or reviewed a patient’s current medication list in the medical record. It confirms that the clinician attests to documenting and maintaining accurate medication documentation, improving safety, preventing medication errors, and continuity of care. The goal of this measure is to reduce risk of adverse drug events, improve patient safety and patient outcomes, and medication management by ensuring that a complete and accurate list of all medications is documented. The code triggers when the clinician documents medication reconciliation, counseling, or verification, typically at transitions of care, initial evaluations, or routine visits. Although not billed for payment, documentation of G8427 use is important for compliance with quality benchmarks and incentivization programs. Note that G8427 should be submitted if the Merit-based Incentive Payment System or MIPS eligible clinician documented that the patient is not currently taking any medications

## **G8427 documentation requirements** For a healthcare provider to properly use G8427, the medical record they obtained must clearly show that the provider has: - Obtained, updated, or reviewed a list of the patient's current medications. - Utilized all immediate resources available at the time of the encounter to gather this information. This may include asking the patient, their authorized representative, or a caregiver, and reviewing existing records or healthcare resources. - The documented list must be complete, including the name, dosage, frequency, and route of administration for each medication. - The action must be documented in the medical record on the date of the encounter.

## **G8427 billing requirements** G8427 is a performance measure code, not a code for a billable service. It signfies that the "performance was met" for the quality measure.

## **Other relevant codes** - G8428: Current list of medications not documented as obtained, updated, or reviewed by the eligible clinican, reason not given. - G8430: Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an urgent or emergent medical situation)