G2186 — Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed
G2186 is a HCPCS Level II code for patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G2186
- Long descriptor
- Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed
- Short descriptor
- Pt ref app rsrcs
- Added
- January 1, 2021
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G2186
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G2186 is not quite right, the correct code is very often within a few positions of it.
- G2178Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation
- G2179Clinician documented that patient had medical reason for not performing lower extremity neurological exam
- G2180Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee
- G2181Bmi not documented due to medical reason or patient refusal of height or weight measurement
- G2182Patient receiving first-time biologic and/or immune response modifier therapy
- G2183Documentation patient unable to communicate and informant not available
- G2184Patient does not have a caregiver
- G2185Documentation caregiver is trained and certified in dementia care
- G2187Patients with clinical indications for imaging of the head: head trauma
- G2188Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age
- G2189Patients with clinical indications for imaging of the head: abnormal neurologic exam
- G2190Patients with clinical indications for imaging of the head: headache radiating to the neck
- G2191Patients with clinical indications for imaging of the head: positional headaches
- G2192Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age
- G2193Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)
- G2194Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior
Questions about G2186
What is HCPCS code G2186?
G2186 is a HCPCS Level II code for patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G2186?
The CMS HCPCS file marks G2186 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G2186 paid under the physician fee schedule?
G2186 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.