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G2174 HCPCS Level II code: Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

G2174 is the HCPCS code for “Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G2174

Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

Short description: Uri new rx antibiotic 30d

HCPCS · United States

Medicare details

The indicators CMS publishes with G2174 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
Type of service
Medical care
BETOS category
Undefined codes
Added
Jan 1, 2021

Where G2174 sits

  1. 1G codesProcedures and professional services
  2. 2Active code G2174Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See G2174 in the CMS source

Frequently asked questions

What does HCPCS code G2174 mean?

G2174 is the HCPCS code for “Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G2174?

CMS lists G2174’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

Codes beside G2174

G2168Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutesG2169Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15…G2170Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow…G2171Percutaneous arteriovenous fistula creation (avf), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing…G2172All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration projectG2173Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic…G2175Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis…G2176Outpatient, ed, or observation visits that result in an inpatient admissionG2177Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode dateG2178Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that…G2179Clinician documented that patient had medical reason for not performing lower extremity neurological examG2180Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee