G8396 — Left ventricular ejection fraction (lvef) not performed or documented
G8396 is a HCPCS Level II code for left ventricular ejection fraction (lvef) not performed or documented. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G8396
- Long descriptor
- Left ventricular ejection fraction (lvef) not performed or documented
- Short descriptor
- Lvef not performed
- Added
- January 1, 2008
- BETOS
- M5D
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G8396
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8396 is not quite right, the correct code is very often within a few positions of it.
- G6055Nicotineterminated
- G6056Opiate(s), drug and metabolites, each procedureterminated
- G6057Phenothiazineterminated
- G6058Drug confirmation, each procedureterminated
- G8126Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phaseterminated
- G8127Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phaseterminated
- G8128Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measureterminated
- G8395Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
- G8398Dilated macular or fundus exam not performedterminated
- G8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
- G8400Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given
- G8401Clinician documented that patient was not an eligible candidate for screeningterminated
- G8404Lower extremity neurological exam performed and documented
- G8405Lower extremity neurological exam not performed
- G8406Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measureterminated
Questions about G8396
What is HCPCS code G8396?
G8396 is a HCPCS Level II code for left ventricular ejection fraction (lvef) not performed or documented. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8396?
The CMS HCPCS file marks G8396 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G8396 paid under the physician fee schedule?
G8396 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.