2025 HCPCS Code G2101
Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
TAGS: illness patients prior advanced frailty inpatient encounter acute period nonacute older encounters years dates service diagnosis different during measurement either leastShort Description | Pt 66+ frailty and adv ill |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2020 |
HCPCS Action Effective Date | January 01, 2020 |
HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Type Of Service Code | 1 - Medical care |
HCPCS Multiple Pricing Indicator Code | 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
HCPCS Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- G9868 - Cmmi asyntelehealth <10min
- G9869 - Cmmi asyntelehealth 10-20min
- G9870 - Cmmi asyntelehealth >20min
- G9873 - 1 em core session
- G9874 - 4 em core sessions
- G9875 - 9 em core sessions
- G9876 - 2 em core ms mo 7-9 no wl
- G9877 - 2 em core ms mo 10-12 no wl
- G9878 - 2 em core ms mo 7-9 wl
- G9879 - 2 em core ms mo 10-12 wl
- G9880 - Em 5 percent wl
- G9881 - Em 9 percent wl
- G9882 - 2 em ongoing ms mo 13-15 wl
- G9883 - 2 em ongoing ms mo 16-18 wl
- G9884 - 2 em ongoing ms mo 19-21 wl
- G9885 - 2 em ongoing ms mo 22-24 wl
- G9886 - In-person attendance g code
- G9887 - Distance learning attendance
- G9888 - 5% wl maintnd from bsline wt
- G9890 - Em bridge payment