G2251 HCPCS code: Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion

G2251 is the HCPCS Level II code for brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion. In 2024 Medicare paid an average of $8.59 per service for G2251 across 161 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume fell 80% from 2022 to 2024 (814 to 161 services). In 2024, about 40 clinicians billed Medicare for G2251 for 116 beneficiaries.

Code details

Who bills G2251 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for G2251, 2022–2024

States with the most G2251 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A57067: Billing and Coding: Outpatient Physical and Occupational Therapy Services (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
• A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC))

Covered diagnoses (14,836 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

Showing 10 of 14,836. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for G2251

• 2021-01-01: G2251 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code G2251?

G2251 is the HCPCS Level II code for brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion. Short descriptor: "Brief chkin, 5-10, non-e/m".

How much does Medicare pay for G2251?

In 2024, the average Medicare payment was $8.59 per service (average allowed $12.15).

Does Medicare cover G2251?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Which diagnoses support coverage for G2251?

Medicare policy articles that cite G2251 list 14,836 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include B91 (Sequelae of poliomyelitis), E08.44 (Diabetes mellitus due to underlying condition with diabetic amyotrophy), E08.52 (Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

How many units of G2251 can be billed per day?

1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).

Related G22 codes

• G2200 — Patient identified as an unhealthy alcohol user received brief counseling
• G2201 — Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)
• G2202 — Patient did not receive brief counseling if identified as an unhealthy alcohol user
• G2203 — Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)
• G2204 — Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period
• G2205 — Patients with pregnancy during adjuvant treatment course
• G2206 — Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy
• G2207 — Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)
• G2208 — Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy
• G2209 — Patient refused to participate
• G2210 — Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given
• G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)

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Next steps

• Run a reimbursement report for a device billed under G2251
• Watch G2251 for fee, coverage and descriptor changes
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Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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