HCPCS G9881 Code. Em 9 percent wl

HCPCS Code: G9881
Long Description: The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing maintenance session
Short Description: Em 9 percent wl

Original information is taken from G9881 page

Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

Coverage: C – Carrier judgment

Berenson-Eggers Type of Service (BETOS): Y1 – Other - Medicare fee schedule
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 20180401
Code Effective Date: 20180401
Action Code: N – No maintenance for this code