G8396 HCPCS code: Left ventricular ejection fraction (lvef) not performed or documented
G8396 is the HCPCS Level II code for left ventricular ejection fraction (lvef) not performed or documented. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | M5D |
| Added | 2008-01-01 |
| Last action effective | 2008-01-01 |
What changed for G8396
- 2008-01-01: G8396 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G8396?
G8396 is the HCPCS Level II code for left ventricular ejection fraction (lvef) not performed or documented. Short descriptor: "Lvef not performed".
Does Medicare cover G8396?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related G83 codes
- G8395 — Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8397 — Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
- G8398 — Dilated macular or fundus exam not performed
- G8399 — Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
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Next steps
- Run a reimbursement report for a device billed under G8396
- Watch G8396 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G8396
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.