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
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
- Long description
- 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
- Short description
- Pt not elig low neuro ex
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2021
- Last change
- January 1, 2021 – No change
Frequently asked questions
What is HCPCS code G2178?
G2178 is a HCPCS Level II code for 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.
Does Medicare cover G2178?
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
- 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)
- G2176 – Outpatient, ed, or observation visits that result in an inpatient admission
- 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
- 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
- G2185 – Documentation caregiver is trained and certified in dementia care
- G2186 – Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.