HCPCS Level II

HCPCS G2170

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No national payment amount

Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.

Contractor-published range

$9,740.25

Enter your ZIP below for the exact amount. Contractor files on record cover 3 of 119 payment localities — a locality we don't hold means our coverage is incomplete, not that Medicare pays $0.

How much does Medicare pay for HCPCS G2170? Copy link

HCPCS G2170 carries status C (carrier-priced) in the Q4 2022 release, so there is no single national rate — Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $9,740.25 across 3 localities; enter a ZIP for the exact local amount.

Source: Physician relative value file (Q4 2022) · effective October 2022 · materially updated Aug 7, 2026 · compact facts

Find the local Medicare amount for G2170 Copy link

Medicare sets this price locally

G2170 has no single national Physician Fee Schedule amount. Enter the service ZIP to match it to a Medicare locality and the contractor amount we have on file.

Your practical estimate will appear here

We hold files from First_coast across JN, most recently effective Jan 1, 2022. A missing locality means our contractor coverage is incomplete—not that Medicare pays $0.

This is the published amount for this code—not necessarily the entire visit or procedure. A hospital may bill a separate facility charge, and other services, drugs, or supplies can add to the total.

Contractor-published source figures, not a national rate. Par = participating-provider amount Non-par = nonparticipating-provider amount C = technical component capped at the OPPS amount # = facility-setting amount

View all 6 published fee rows

Jurisdiction / locality	Modifier	Note	Par	Non-par	Limiting charge	Effective	Source
JN · Florida, Area 03 CMS 09102-03	—	—	$9,740.25	$9,253.24	$10,641.23	Jan 1, 2022	Contractor file
JN · Florida, Area 03 CMS 09102-03	—	#	$1,109.31	$1,053.84	$1,211.92	Jan 1, 2022	Contractor file
JN · Florida, Area 04 CMS 09102-04	—	—	$9,740.25	$9,253.24	$10,641.23	Jan 1, 2022	Contractor file
JN · Florida, Area 04 CMS 09102-04	—	#	$1,206.00	$1,145.70	$1,317.56	Jan 1, 2022	Contractor file
JN · Florida, Area 99 CMS 09102-99	—	—	$9,740.25	$9,253.24	$10,641.23	Jan 1, 2022	Contractor file
JN · Florida, Area 99 CMS 09102-99	—	#	$1,036.97	$985.12	$1,132.89	Jan 1, 2022	Contractor file

The authenticated MAC fees API returns the same source rows. ZIP5s that span localities are flagged and use only the crosswalk's dominant locality until ZIP+4 overrides are available.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed the same date of service to check the current NCCI procedure-to-procedure edit between it and G2170.

See every current NCCI pair for G2170 →

Global period: what G2170's fee already covers Copy link

YYY Contractor decides

Your Medicare Administrative Contractor decides whether a global period applies and sets its length when it prices the code. The result is 0, 10, or 90 days.

Modifiers that report work outside G2170's global period
Modifier	Reports
-25	A significant, separately identifiable E/M on the same day as the procedure, beyond its usual pre- and post-operative care.

A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.

Common questions Copy link

Why is there no payment amount for G2170?

Its status indicator is C (carrier-priced). Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for G2170 be denied or paid less?

Each item below comes from a CMS indicator on this page — not general billing advice.

Its status indicator is C (carrier-priced) — Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. See status indicators
Bilateral surgery: no bilateral adjustment. See billing policy
Co-surgeons: payable with documentation. See billing policy
Team surgery: not permitted. See billing policy
Multiple procedures: standard reduction applies. See billing policy

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill? Copy link

For patients

What does HCPCS code G2170 mean?

HCPCS code G2170: Avf by tissue w thermal e.

Computation & policy

Billing policy Copy link

What G2170's billing-policy indicators mean. These show for every code, priced or not: a restriction like "bilateral not allowed" still matters on a carrier-priced code.

Policy	Value	What it means
Bilateral surgery	0	No bilateral adjustment. The 150% bilateral payment adjustment does not apply to this procedure.
Assistant at surgery	2	Payable. An assistant at surgery may be separately paid for this procedure, typically as a percentage of the fee schedule amount.
Co-surgeons	1	Payable with documentation. Co-surgeons may be paid, but only with supporting documentation establishing the medical necessity of two surgeons.
Team surgery	0	Not permitted. Medicare does not recognize a surgical team (modifier 66) for this procedure.
Multiple procedures	2	Standard reduction applies. The same standard ranking-and-reduction rule as indicator 1 applies to this procedure when billed with others on the same date.
Professional/technical split	0	No PC/TC split. This is a physician service code; the professional/technical split does not apply, and the code is billed as a single service.

Did this answer your question about HCPCS G2170?

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q4 2022 release (schedule pfs, effective October 2022). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. CMS owns the code description shown for HCPCS Level II codes. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.

Physician relative value file (Q4 2022) · rvu22d.zip (PPRRVU22_OCT.csv row 1,909)

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q4 2022 figures, even after a newer release lands.

HCPCS G2170 Medicare Physician Fee Schedule rate (Q4 2022). Localis. https://localishealth.com/hcpcs/G2170/2022/D