HCPCS code G2081 — Pt 66+ snp or ltc pos > 90d.
Status: Active.
Effective Jan 1, 2022.
Source: CMS HCPCS Level II.
G2081
ActivePt 66+ snp or ltc pos > 90d
Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2022
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
MUE — Medically Unlikely Edits
Maximum units of G2081 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 2022-Q1Pt 66+ snp or ltc pos > 90d