HCPCSwise

HCPCS codes / G / G9880

G9880

The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
Y1
Pricing indicator
00
Effective date
20180401
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.