G9169 – Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting

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

Discontinued December 31, 2019 Carrier judgment

HCPCS codeG9169
Long description
Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
Short description
Memory goal status
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
M5D Specialist - other
Added
January 1, 2013
Last change
January 1, 2020 – No change
Termination date
December 31, 2019

Frequently asked questions

What is HCPCS code G9169?

G9169 is a HCPCS Level II code for memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting. It was discontinued on December 31, 2019.

Does Medicare cover G9169?

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.