G9938 Pt 66+ snp or ltc pos > 90d
Also known as: SNF 66+, LTC over 90 days
Healthcare quality measure documenting patient age 66 or older in Skilled Nursing Facility or Long-Term Care facility for greater than 90 days.
In Plain Language
senior in nursing care; extended care facility resident
Clinical Context
Quality measure for identifying and tracking older adult populations in post-acute and long-term care settings.
RVU Information
CPT G9938 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G9938?
CPT G9938 (Pt 66+ snp or ltc pos > 90d) is a G Codes code. Healthcare quality measure documenting patient age 66 or older in Skilled Nursing Facility or Long-Term Care facility for greater than 90 days.
Who uses CPT code G9938?
CPT G9938 is used by Geriatrics, Nursing Home Medicine, Quality Reporting. Quality measure for identifying and tracking older adult populations in post-acute and long-term care settings.
When is CPT G9938 used?
Quality measure for identifying and tracking older adult populations in post-acute and long-term care settings.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.