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HCPCS Level II/G-Codes/G2117

G2117 HCPCS Level II Code: 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

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2
  • 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.

Official Registry Overview & Definition

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 is a HCPCS Level II code (G2117) for a Medicare-covered supply, service, or procedure. Short description: Pt 66-80 frailty and adv ill.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2117 in its code family, with their registry titles.

  • 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
  • G2114 — 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
  • 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
  • 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
  • G2120 — Within the past 2 years, calcium and/or vitamin d optimization has not been ordered or performed
  • G2121 — Depression, anxiety, apathy, and psychosis assessed
  • G2122 — Depression, anxiety, apathy, and psychosis not assessed