HCPCS code G9175
Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
What G9175 means
G9175 (Speech lang goal status) belongs to the HCPCS Level II G series (Procedures / Professional Services (Temporary)). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
Part B pricing: Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.).
Code details
- Short description
- Speech lang goal status
- Coverage code
- C = Carrier judgment
- Pricing indicator
- 00 = 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 (pricing indicator is 00) or value is not established(pricing indicator is '99')
- Type of service
- 1 = Medical care
- Action code
- N = No maintenance for this code
- Action effective date
- January 01, 2020
- Code added date
- January 01, 2013
- Data year
- 2026
Questions about G9175
What is HCPCS code G9175?
HCPCS code G9175 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting"
Is G9175 a CPT code?
No. G9175 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code G9175?
The Medicare coverage code for G9175 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
When was HCPCS code G9175 added?
G9175 was added to the HCPCS code set on January 01, 2013. The most recent action on it (No maintenance for this code) took effect on January 01, 2020.
Nearby G codes
All G codes- G9170Memory functional limitation, discharge status at discharge from therapy or to end reporting
- G9171Voice functional limitation, current status at therapy episode outset and at reporting intervals
- G9172Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
- G9173Voice functional limitation, discharge status at discharge from therapy or to end reporting
- G9174Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals
- G9176Other speech language pathology functional limitation, discharge status at discharge from therapy or to end reporting
- G9186Motor speech functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
- G9187Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code
- G9188Beta-blocker therapy not prescribed, reason not given
- G9189Beta-blocker therapy prescribed or currently being taken