HCPCS Code Details - G9851

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9851
Description

Long description:
Patient had one or less emergency department visits in the last 30 days of life

Short description:
1/no ed visit last 30d life

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 Z2 - Undefined codes
HCPCS Action code D - Discontinue procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2021
Date added Added Jan 01, 2017
Termination date Dec 31, 2020
HCPCS Coding Procedures
  HCPCS Code G9851 has been discontinued effective Jan 01, 2021.

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G9850 · Patient had more than one emergency department visit in the last 30 days of life

  • HCPCS G9414 · Patient had one dose of meningococcal vaccine (serogroups a, c, w, y) on or between the patient's 11th and 13th birthdays

  • HCPCS G9416 · Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays

  • HCPCS G9852 · Patients who died from cancer


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”