Be Sure to Use G Code for E-Prescribing

TMA has heard from practices who expected to reap a Medicare incentive payment — or avoid a penalty — by e-prescribing. But because they failed to report the electronic prescriptions using G-code G8553, Medicare did not recognize their e-prescribing claims.

Physicians must report e-prescribing via claims using G-code G8553 on at least 10 unique Medicare encounters by June 30 to prevent receiving a 1.5-percent penalty on all 2013 Medicare Part B claims.

Likewise, to earn incentive payments for e-prescribing in 2012, physicians must report G-code G8553 at least 25 times for Medicare office visits for the entire 2012 calendar year.

Note that physicians participating in the Medicare Electronic Health Record Incentive Program are not eligible for the e-prescribing incentive, but must act by June 30 to prevent the 2013 penalty.

If you have questions about the Medicare e-prescribing program, contact the TMA HIT Helpline at or (800) 880-5720. If you need help with e-prescribing, turn to the Texas regional extension centers (RECs). RECs provide support to physicians to help with e-prescribing, EHR selection, workflow analysis, staff training, EHR incentives, and much more. Visit TMA’s Texas REC Resource Center for more information.

Want to see be sure your documentation supports your coding? TMA Practice Consulting offers coding and documentation reviews, training, and checkups, some continuing medical education credits. For more information, call (800) 523-8776 or email

Published June 13, 2012 

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