HCPCS Level II Code Lookup
Look up official HCPCS Level II codes for products, supplies, drugs, equipment and services, or browse by letter family below.
- Current release
- October 2026 effective October 1, 2026
- Active codes
- 7,448 active codes
- Maintainer
- Maintained by CMS
Browse by Letter Family
8,769 codes, grouped by their leading letter.
G
- G9968 Patient was referred to another clinician or specialist during the measurement period
- G9969 Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred
- G9970 Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred
- G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity Historical
- G9975 Documentation of medical reason(s) for not performing a dilated macular examination Historical
- G9978 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, 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 self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9979 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, 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 low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9980 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low 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 severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9981 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate 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, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9982 Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 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, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9983 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 problem focused history; a problem focused examination; straightforward medical decision making, 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 self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9984 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: an expanded problem focused history; an expanded problem focused examination; medical decision making of low 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 low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9985 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 detailed history; a detailed examination; medical decision making of moderate 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, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- 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
- G9987 Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code
- G9988 Palliative care services provided to patient any time during the measurement period
- G9989 Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) Historical
- G9990 Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period Historical
- G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period Historical
- G9992 Palliative care services used by patient any time during the measurement period
- G9993 Patient was provided palliative care services any time during the measurement period
- G9994 Patient is using palliative care services any time during the measurement period
- G9995 Patients who use palliative care services any time during the measurement period Historical
- G9996 Documentation stating the patient has received or is currently receiving palliative or hospice care
- G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
- G9998 Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])
- G9999 Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)
H
- H0001 Alcohol and/or drug assessment
- H0002 Behavioral health screening to determine eligibility for admission to treatment program
- H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs
- H0004 Behavioral health counseling and therapy, per 15 minutes
- H0005 Alcohol and/or drug services; group counseling by a clinician
- H0006 Alcohol and/or drug services; case management
- H0007 Alcohol and/or drug services; crisis intervention (outpatient)
- H0008 Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)
- H0009 Alcohol and/or drug services; acute detoxification (hospital inpatient)
- H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)
- H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)
- H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient)
- H0013 Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)
- H0014 Alcohol and/or drug services; ambulatory detoxification
- H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education
- H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)
- H0017 Behavioral health; residential (hospital residential treatment program), without room and board, per diem
- H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem
- H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem
- H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)
- H0021 Alcohol and/or drug training service (for staff and personnel not employed by providers)
- H0022 Alcohol and/or drug intervention service (planned facilitation)
- H0023 Behavioral health outreach service (planned approach to reach a targeted population)
- H0024 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)
- H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)
- H0026 Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors)
- H0027 Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law)
- H0028 Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment
- H0029 Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events)
- H0030 Behavioral health hotline service
- H0031 Mental health assessment, by non-physician
- H0032 Mental health service plan development by non-physician
- H0033 Oral medication administration, direct observation
- H0034 Medication training and support, per 15 minutes
- H0035 Mental health partial hospitalization, treatment, less than 24 hours
- H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes
- H0037 Community psychiatric supportive treatment program, per diem
- H0038 Self-help/peer services, per 15 minutes
- H0039 Assertive community treatment, face-to-face, per 15 minutes
- H0040 Assertive community treatment program, per diem
- H0041 Foster care, child, non-therapeutic, per diem
- H0042 Foster care, child, non-therapeutic, per month
- H0043 Supported housing, per diem
- H0044 Supported housing, per month
- H0045 Respite care services, not in the home, per diem
- H0046 Mental health services, not otherwise specified
- H0047 Alcohol and/or other drug abuse services, not otherwise specified
- H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood
- H0049 Alcohol and/or drug screening
- H0050 Alcohol and/or drug services, brief intervention, per 15 minutes
- H0051 Traditional healing service
- H0052 Missing and murdered indigenous persons (mmip) mental health and clinical care
- H0053 Historical trauma (ht) mental health and clinical care for indigenous persons
- H1000 Prenatal care, at-risk assessment
- H1001 Prenatal care, at-risk enhanced service; antepartum management
- H1002 Prenatal care, at risk enhanced service; care coordination
- H1003 Prenatal care, at-risk enhanced service; education
- H1004 Prenatal care, at-risk enhanced service; follow-up home visit
- H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004)
- H1010 Non-medical family planning education, per session
- H1011 Family assessment by licensed behavioral health professional for state defined purposes
- H2000 Comprehensive multidisciplinary evaluation
- H2001 Rehabilitation program, per 1/2 day
- H2010 Comprehensive medication services, per 15 minutes
- H2011 Crisis intervention service, per 15 minutes
- H2012 Behavioral health day treatment, per hour
- H2013 Psychiatric health facility service, per diem
- H2014 Skills training and development, per 15 minutes
- H2015 Comprehensive community support services, per 15 minutes
- H2016 Comprehensive community support services, per diem
- H2017 Psychosocial rehabilitation services, per 15 minutes
- H2018 Psychosocial rehabilitation services, per diem
- H2019 Therapeutic behavioral services, per 15 minutes