HCPCS Code G2158

Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period
Code effective Jan 01, 2021

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G2158 is a valid 2026 HCPCS code meaning Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period or (Pneum vacc adv rx) for short. HCPCS G2158 has been effective since 01/01/2021 and applies to Medical care.

HCPCS Code Details - G2158

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G2158
Description

Long description:
Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period

Short description:
Pneum vacc adv rx

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 Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2021
Date added Added Jan 01, 2020
Termination date Dec 31, 2020

See also

  • HCPCS G2157 · Patients received 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 the measurement period

  • HCPCS G2161 · Patient had prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period

  • HCPCS 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

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 Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.