HCPCS code G8530
Autogenous av fistula received
What G8530 means
G8530 (Auto av fistula recd) belongs to the HCPCS Level II G series (Procedures / Professional Services (Temporary)). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
Part B pricing: Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.).
Code details
- Short description
- Auto av fistula recd
- Coverage code
- C = Carrier judgment
- Pricing indicator
- 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
- Multiple pricing indicator
- 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is '99')
- Type of service
- 1 = Medical care
- Action code
- N = No maintenance for this code
- Action effective date
- January 01, 2016
- Code added date
- January 01, 2009
- Data year
- 2026
Questions about G8530
What is HCPCS code G8530?
HCPCS code G8530 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Autogenous av fistula received"
Is G8530 a CPT code?
No. G8530 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code G8530?
The Medicare coverage code for G8530 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
When was HCPCS code G8530 added?
G8530 was added to the HCPCS code set on January 01, 2009. The most recent action on it (No maintenance for this code) took effect on January 01, 2016.
Nearby G codes
All G codes- G8502All quality actions for the applicable measures in the back pain measures group have been performed for this patient
- G8506Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
- G8509Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given
- G8510Screening for depression is documented as negative, a follow-up plan is not required
- G8511Screening for depression documented as positive, follow-up plan not documented, reason not given
- G8531Clinician documented that patient was not an eligible candidate for autogenous av fistula
- G8532Clinician documented that patient received vascular access other than autogenous av fistula, reason not given
- G8535Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status
- G8536No documentation of an elder maltreatment screen, reason not given
- G8539Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment