G2182 – Patient receiving first-time biologic and/or immune response modifier therapy

Long description

Patient receiving first-time biologic and/or immune response modifier therapy

Short description

Pt 1st biolog antirheum

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, 2023 – No change

Nearby G codes

• 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
• 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
• 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
• G2187 – Patients with clinical indications for imaging of the head: head trauma
• G2188 – Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age
• G2189 – Patients with clinical indications for imaging of the head: abnormal neurologic exam
• G2190 – Patients with clinical indications for imaging of the head: headache radiating to the neck