Skip to main content
HCPCS G2252 · Level II · G code

G2252: Brief communication technology-based service, e.g. virtual check-in, HCPCS Level II G code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for G2252

Medicare payment
$28.39
PFS non-facility, national; facility $22.38
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
1
MAI 2
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
4
4 hospital outpatient
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS G2252, added in 2021, as "Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion". National PFS payment for G2252 is $28.39 in an office and $22.38 in a facility (October 2026), built from 0.50 work, 0.31 practice-expense and 0.04 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $28.53 at $33.5675. CMS caps G2252 at practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. In the NCCI PTP files v323r0 G2252 appears in 0 practitioner pairs as column 2 and 4 as column 1, and in 0 hospital outpatient pairs as column 2 and 4 as column 1. No current LCD or billing article lists G2252; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS M5D (specialist - other); pricing indicator 13; type of service 1 (medical care). 1 other active code opens with "Brief communication technology-based service"; related codes: G2251, G2250, G2214, G2212.

G2252 descriptor and code status

The October 2026 HCPCS Level II file describes G2252 as “Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G2252 CPT code", G2252 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of G2252
FieldValue
Short descriptorBrief chkin by md/qhp, 11-20
Added to HCPCS2021-01-01
Last actionN (no maintenance), effective 2021-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G2252

National PFS payment for G2252 is $28.39 in an office and $22.38 in a facility (October 2026), built from 0.50 work, 0.31 practice-expense and 0.04 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $28.53 at $33.5675. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status A: active: paid separately under the physician fee schedule when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for G2252
ComponentNon-facilityFacility
Work RVU0.500.50
Practice expense RVU0.310.13
Malpractice RVU0.040.04
Total RVUs0.850.67
National payment (CF $33.4009)$28.39$22.38
Qualifying APM participant (CF $33.5675)$28.53$22.49
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for G2252

CMS caps G2252 at practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for G2252 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
Facility outpatient hospital12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for G2252 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G2252 is the column-2 (bundled) code in 0 active pairs and the column-1 code in 4 (0% modifier-allowed); 0 earlier pairs have been deleted.

Column-2 codes bundled into G2252 (practitioner)
Column-2 codePairs
98000 (CPT; descriptor licensed by AMA)1
98004 (CPT; descriptor licensed by AMA)1
99421 (CPT; descriptor licensed by AMA)1
99422 (CPT; descriptor licensed by AMA)1

In the hospital outpatient PTP file v323r0, G2252 is the column-2 (bundled) code in 0 active pairs and the column-1 code in 4 (0% modifier-allowed); 0 earlier pairs have been deleted.

Column-2 codes bundled into G2252 (hospital outpatient)
Column-2 codePairs
98000 (CPT; descriptor licensed by AMA)1
98004 (CPT; descriptor licensed by AMA)1
99421 (CPT; descriptor licensed by AMA)1
99422 (CPT; descriptor licensed by AMA)1

G2252 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check G2252 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G2252

No current LCD or billing and coding article lists G2252. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on G2252

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of G2252 exceed the practitioner MUE of 1 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for G2252 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G2252 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS G2252

What does HCPCS code G2252 describe?

"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion" (short descriptor "Brief chkin by md/qhp, 11-20"), in the G section (procedures and professional services, temporary). Added 2021-01-01.

Is G2252 a CPT code?

It is not. G2252 belongs to the G section (procedures and professional services, temporary) of HCPCS Level II, the CMS code set, not to AMA CPT. "G2252 CPT code" searches refer to it.

What does Medicare pay for G2252?

National PFS payment for G2252 is $28.39 in an office and $22.38 in a facility (October 2026), built from 0.50 work, 0.31 practice-expense and 0.04 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $28.53 at $33.5675.

How many units of G2252 can be billed per day?

CMS caps G2252 at practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover G2252?

No current LCD or billing article lists G2252; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.