localis

Describe a service in plain words, or type a CPT/HCPCS code.

Calculator

HCPCS G2174

Excluded from PFS

G2174 · PFS Q4 2021 · Historical

Status M is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

Not at a published national rate. HCPCS G2174 carries status M (measurement code) in the Q4 2021 release. This code exists for reporting purposes only. Treat the blank amount as unpriced, not as $0.

PFS status evidence

Physician relative value file (Q4 2021) · rvu21d.zip (PPRRVU21_OCT.csv row 1,821)
Inspect PFS status evidence
Code
G2174
Release
Q4 2021, revision 1
Result
Excluded from PFS

Citations

  • Establishes the PFS status (M) and the resulting pathway for this code: excluded from pfs.

    Physician relative value file (PPRRVU)

    Q4 2021 · revision 1

    Latest revision of this release

    Release period: October 1 – December 31, 2021

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    Record details PPRRVU21_OCT.csv in rvu21d.zip (row 1,821)
    hcpcs (col 1)
    G2174
    modifier (col 2)
    blank
    status_code (col 4)
    M

    SHA-256: f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297

    Original source file

Compact facts

Why is there no national PFS amount for G2174?

Its status indicator is M (measurement code). This code exists for reporting purposes only. Status M is not separately payable under the PFS.

About this code

Uri new rx antibiotic 30d

Payment considerations Copy link

The inputs and payment rules that apply to this code. Each link jumps to its detail below.

Other payment indicators (10)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.

Why would a Medicare claim for G2174 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is M (measurement code)—This code exists for reporting purposes only. See status indicators

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.

Which billing rules and modifiers apply? Copy link

Global period: what G2174's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and G2174.

See every current NCCI pair for G2174 →

How has it changed? Copy link

Rate history by release Copy link

National office (non-facility) amount for G2174 across quarterly releases.

Release Status Office Facility
Q4 2026 takes effect Oct 1, 2026 M — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 M — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 M — —
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.

Usage and related codes Copy link

Did this answer your question about HCPCS G2174?

We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.

Did this page answer your question?

Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q4 2021 release (effective October 2021). National baselines use GPCI 1.000 and exclude sequestration. Status and payment instructions determine whether a national amount is established; blank RVUs stay blank. Releases are immutable: historical evidence remains tied to the specified release. CMS owns the code description shown for HCPCS Level II codes. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before they ship.

Physician relative value file (Q4 2021) · rvu21d.zip (PPRRVU21_OCT.csv row 1,821)

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

Cite this rate

This citation identifies the source release, so its evidence remains reproducible after a newer release lands.

HCPCS G2174 National PFS baseline: No national PFS rate (Q4 2021; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/hcpcs/G2174/2021/D