2019 HCPCS Codes > G Codes >

G9986

Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

  • 2019 Status Change: Add procedure or modifier code
  • Effective Date: 2018-10-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Office visits - established

Medicare has not assigned a fee schedule for this code

G9985       G9987