Medicare Coverage & Payment

CMS short descriptor: Pt 66-80 frailty and med dem
Medicare coverage: Carrier judgment (CMS coverage code C)
Payment category: Service not separately priced (pricing indicator 00)
BETOS: Z2 — Undefined codes
Last CMS action effective: January 1, 2021
Terminated: December 31, 2020

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Code Set: Removed from the code set — not valid on or after January 1, 2021.

Official Registry Overview & Definition

Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period is a HCPCS Level II code (G2114). CMS assigns coverage code C — Carrier judgment. CMS terminated this code effective December 31, 2020; it cannot be reported for later dates of service. Short description: Pt 66-80 frailty and med dem.

Change history

2021-01-01
Removed from the code set
Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
2020-01-01
Added to the code set
Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period

Contextual Map

Every relationship of G2114 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

G2100 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period [Sibling]
G2101 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period [Sibling]
G2102 — Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed [Sibling]
G2103 — Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed [Sibling]
G2104 — Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed [Sibling]
G2105 — Patient age 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 measurement period [Sibling]
G2106 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period [Sibling]
G2107 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period [Sibling]
and 32 more

Change history (2)

2021-01-01 — Removed from the code set [Change history]
and 1 more

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2114 in its code family, with their registry titles.

G2108 — Patient age 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 measurement period
G2109 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2110 — Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2112 — Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 months
G2113 — Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity
G2115 — Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2116 — Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2117 — Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2118 — Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period
G2119 — Within the past 2 years, calcium and/or vitamin d optimization has been ordered or performed

G2114 HCPCS Level II Code: Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period