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HCPCS Level II/G-Codes/G2206

G2206 HCPCS Level II Code: Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy

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

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

Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy is a HCPCS Level II code (G2206). CMS assigns coverage code C — Carrier judgment. Short description: Adjv trtmt chemo her2.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G2206 in its code family, with their registry titles.

  • G2201 — Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)
  • 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
  • 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
  • G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)