HCPCS code G2020 — Hi inten serv for sip model.
Status: Active.
Effective Apr 1, 2021.
Source: CMS HCPCS Level II.
G2020
ActiveHi inten serv for sip model
Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Apr 1, 2021
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G2020 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2021-Q2Hi inten serv for sip model