G2169 – Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Carrier judgment

HCPCS codeG2169
Long description
Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
Short description
Svs by ot in home health
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
Y1 Other - Medicare fee schedule
Added
January 1, 2020
Last change
January 1, 2020 – No change

Frequently asked questions

What is HCPCS code G2169?

G2169 is a HCPCS Level II code for services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes.

Does Medicare cover G2169?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.