In simple words: This code indicates that a patient with inflammatory bowel disease (IBD) did not receive a pneumococcal vaccine, and the doctor didn't record why. These vaccines help prevent serious infections caused by the Streptococcus pneumoniae bacteria.

This code signifies a quality measure where a pneumococcal vaccine was not administered, or the patient had not previously received it, to protect against Streptococcus pneumoniae infection in a patient with inflammatory bowel disease (IBD), and the provider did not document a reason for this omission. It highlights a gap in preventative care for a vulnerable population.

Example 1: A patient with Crohn's disease (a type of IBD) is seen for a routine follow-up. The patient's chart lacks documentation of a pneumococcal vaccine, and the physician does not administer the vaccine during the visit, nor document the reason for omission. Code G8867 is reported., A patient with ulcerative colitis (another type of IBD) is hospitalized for a flare-up. The patient reports not receiving a pneumococcal vaccine in the past, but the attending physician does not order or administer the vaccine and fails to document the reason. Code G8867 is reported., A patient with IBD is seen for a pre-operative consultation. Their medical history reveals they have not received the pneumococcal vaccine. However, due to the urgency of the surgery, the physician decides to postpone vaccination and clearly documents the reason for the delay in their chart. Code G8867 is NOT reported in this scenario as the reason for not administering the vaccine is documented.

Documentation should include the patient's IBD diagnosis, vaccination history (including previous pneumococcal vaccinations), assessment of the need for the vaccine, the administration of the vaccine or the documented reason for not administering it, including contraindications, patient refusal, or other clinical justifications.