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HCPCS Level II/G-Codes/G2201

G2201 HCPCS Level II Code: Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)

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, 2023
  • Terminated: December 31, 2022

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

Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons) is a HCPCS Level II code (G2201) for a Medicare-covered supply, service, or procedure. Short description: Med rsn no brief couns.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2201 in its code family, with their registry titles.

  • G2200 — Patient identified as an unhealthy alcohol user received brief counseling
  • G2202 — Patient did not receive brief counseling if identified as an unhealthy alcohol user
  • G2203 — Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)
  • G2204 — Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period
  • G2205 — Patients with pregnancy during adjuvant treatment course
  • G2206 — Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy
  • G2207 — Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)
  • G2208 — Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy
  • G2209 — Patient refused to participate
  • G2210 — Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given