G9227 Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter
Short descriptor: Foa doc, care plan not doc
Look up G9227 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
G9227 is the HCPCS Level II code for Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Not separately priced by Part B (indicator 00)
- Type of Service
- Medical care
- Effective Date
- 2018-01-01
- 2026 Maintenance
- No change this year
References
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Reference G9227 with the canonical source and edition:
G9227 — Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G9227
Canonical URL: https://icd10codingpro.com/hcpcs-codes/G9227