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HCPCS Level II/G-Codes/G2123

G2123 HCPCS Level II Code: Patients 66-80 years of age and had 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 — 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.

Official Registry Overview & Definition

Patients 66-80 years of age and had 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 (G2123). 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 med dem.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2123 in its code family, with their registry titles.

  • 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
  • G2124 — Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and a dispensed dementia medication
  • G2125 — Patients 81 years of age and older with at least one claim/encounter for frailty during the six months prior to the measurement period through december 31 of the measurement period
  • G2126 — 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
  • G2127 — 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
  • G2128 — Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed, blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)