HCPCS codes / G / G9881
G9881
The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing 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.