G2176 – Outpatient, ed, or observation visits that result in an inpatient admission

Long description

Outpatient, ed, or observation visits that result in an inpatient admission

Short description

Outpt ed obs w inpt admit

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

Z2 Undefined codes

Added

January 1, 2021

Last change

January 1, 2021 – No change

Nearby G codes

• G2168 – Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes
• 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
• G2170 – Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed
• G2171 – Percutaneous arteriovenous fistula creation (avf), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, wen performed) and fistulogram(s), angiography, enography, and/or ultrasound, with radiologic supervision and interpretation, when performed
• G2172 – All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project
• G2173 – Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)
• G2174 – Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date
• G2175 – Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)
• G2177 – Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date
• G2178 – Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation
• G2179 – Clinician documented that patient had medical reason for not performing lower extremity neurological exam
• G2180 – Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee
• G2181 – Bmi not documented due to medical reason or patient refusal of height or weight measurement
• G2182 – Patient receiving first-time biologic and/or immune response modifier therapy
• G2183 – Documentation patient unable to communicate and informant not available
• G2184 – Patient does not have a caregiver