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G8991 HCPCS Level II code: Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at…

CMS terminated G8991: its last date of service was Dec 31, 2019. It stays here for looking up older claims; newer services need a current code.

Official description

G8991

Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting

Short description: Other pt/ot goal status

HCPCS · United States

Medicare details

The indicators CMS publishes with G8991 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
Specialist - other
Added
Jan 1, 2013
Terminated after
Dec 31, 2019

Where G8991 sits

  1. 1G codesProcedures and professional services
  2. 2Terminated G8991Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting

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 G8991 in the CMS source

Frequently asked questions

Is HCPCS code G8991 still valid?

No. CMS terminated G8991; its last date of service was Dec 31, 2019. It is listed for looking up services from before then. Use a current code for newer services.

Does Medicare cover G8991?

CMS lists G8991’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 G8991

G8985Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reportingG8986Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reportingG8987Self care functional limitation, current status, at therapy episode outset and at reporting intervalsG8988Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reportingG8989Self care functional limitation, discharge status, at discharge from therapy or to end reportingG8990Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervalsG8992Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reportingG8993Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervalsG8994Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end…G8995Other physical or occupational therapy subsequent functional limitation, discharge status, at discharge from therapy or to end reportingG8996Swallowing functional limitation, current status at therapy episode outset and at reporting intervalsG8997Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting