HCPCSwise

HCPCS codes / G / G9938

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

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
Z2
Pricing indicator
00
Effective date
20240101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.