G9886 - HCPCS Code for In-person attendance g code

HCPCS Code Details - G9886
HCPCS Level II Code Procedures/Professional Services (Temporary Codes) Search
HCPCS Code	`G9886`
Description	Long description: Behavioral counseling for diabetes prevention, in-person, group, 60 minutes Short description: In-person attendance g code
HCPCS Modifier¹
HCPCS Pricing indicator	`00` - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator	`9` - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code	`C` - Carrier judgment
BETOS² code	`Y1` - Other - Medicare fee schedule
HCPCS Action code	`N` - No maintenance for this code
Type of service	`1` - Medical care
Effective date	Effective Jan 01, 2024
Date added	Added Jan 01, 2024
HCPCS Coding Procedures

HCPCS G9885 · Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24
HCPCS G9887 · Behavioral counseling for diabetes prevention, distance learning, 60 minutes

¹ Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

² BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Code G9886