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HCPCS Level II/G-Codes/G2163

G2163 HCPCS Level II Code: Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of 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.

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

Official Registry Overview & Definition

Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period is a HCPCS Level II code (G2163). 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: Infl vacc 07/01 to 06/30.

Change history

  • 2021-01-01
    Removed from the code set
    Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
  • 2020-01-01
    Added to the code set
    Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2163 in its code family, with their registry titles.

  • G2158 — Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period
  • G2159 — Patient did not receive both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before or during measurement period; or have prior pneumococcal vaccine adverse reaction any time during or before the measurement period
  • G2160 — Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period
  • G2161 — Patient had prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period
  • G2162 — Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period; or have prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period
  • G2164 — Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period
  • G2165 — Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period; or did not have a prior influenza virus vaccine adverse reaction any time before or during the measurement period
  • G2166 — Patient refused to participate at admission and/or discharge; patient unable to complete the neck fs prom at admission or discharge due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, and a suitable proxy/recorder is not available; patient self-discharged early; medical reason
  • G2167 — Residual score for the neck impairment successfully calculated and the score was less than zero (< 0)
  • G2168 — Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes