Summary & Overview
HCPCS G8487: Intent to Report Chronic Kidney Disease Measures Group
HCPCS Level II code G8487 designates the provider’s intent to report the chronic kidney disease (CKD) measures group for quality measurement and reporting. This reporting-intent code is part of administrative and quality workflows that support standardized tracking of CKD-related performance measures across outpatient and ambulatory care settings. Nationally, such codes matter because they enable consistent capture of quality efforts tied to chronic disease management, inform payers and regulators about provider participation in measure reporting, and can intersect with value-based payment and quality programs.
Key payers referenced include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what G8487 represents, its clinical and workflow context in CKD measurement, and the types of benchmarks and policy considerations typically associated with measure-reporting codes. The publication provides an overview of how the code is used in practice, the typical sites of service, and where to look for further guidance on measure definitions, reporting requirements, and payer-specific documentation rules. Data not available in the input for specific modifiers, taxonomies, ICD-10 mappings, related codes, and service-line details are noted where applicable.
Billing Code Overview
HCPCS Level II code G8487 represents the reporting intent: "I intend to report the chronic kidney disease (ckd) measures group."
Service type: Quality/reporting measure set — the code is used to indicate an intention to report a group of chronic kidney disease measures for quality measurement and reporting purposes.
Typical site of service: Outpatient clinical settings and ambulatory care where quality measurement and reporting activities related to chronic kidney disease are documented, such as primary care clinics, nephrology practices, and outpatient health centers.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 64-year-old patient with known chronic kidney disease (CKD) stage 3b presents to a primary care clinic for ongoing disease registry reporting and quality measure reconciliation. The patient’s chart includes longitudinal labs showing estimated glomerular filtration rate (eGFR) 38 mL/min/1.73 m2 and urine albumin-to-creatinine ratio (UACR) 250 mg/g. The clinical workflow includes a nurse or medical assistant confirming recent laboratory values and medications, a clinician reviewing the CKD staging and risk stratification, documenting interventions (blood pressure control, ACE inhibitor or ARB therapy consideration, statin use), and submitting measure compliance data to the health system’s quality reporting module. The service represented by G8487 is used to indicate intent to report the CKD measures group for quality measurement and registry tracking during the visit. Typical tasks during the encounter include reconciliation of labs and medications, counseling on lifestyle and referral planning to nephrology if progression is noted, and electronic submission of measure status to the clinical registry or payer-quality program.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure | Use when a distinct E/M visit is performed in addition to services related to CKD measure reporting |