2024 HCPCS Code G9938
Patients aged 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period
TAGS: plans period patients institutional older special prior through during consecutive measurement months needs residing december
| Short Description | Pt 66+ snp or ltc pos > 90d |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | January 01, 2024 |
| HCPCS Code Added Date | January 01, 2018 |
| HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
| HCPCS Multiple Pricing Indicator Code | 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
| HCPCS Coverage Issues Manual Reference Section Number | |
| HCPCS Type Of Service Code | 1 - Medical care |
| HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- G9937 - Dig or surv colsco
- G9938 - Pt 66+ snp or ltc pos > 90d
- G9939 - Same path/derm perf biopsy
- G9940 - Doc reas no statin therapy
- G9941 - Pre and post vas wthn 3 mos
- G9942 - Adtl spine proc on same date
- G9943 - Bk pn nt msr vas scl pre/pst
- G9944 - Vas 3 mon pre and 1 yr post
- G9945 - Pt w/cancer scoliosis
- G9946 - Bk pain no vas
- G9947 - Pre and post vas wthn 3 mos
- G9948 - Adtl spine proc on same date
- G9949 - Leg pain no vas
- G9954 - Pt >2 rsk fac post-op vomit
- G9955 - Inhlnt anesth only for induc
- G9956 - Combo thrpy of >= 2 prophly
- G9957 - Doc med rsn no combo thrpy
- G9958 - No combo prohpyl thrp for pt
- G9959 - Systemic antimicro not presc
- G9960 - Med rsn sys antimi nt rx