HCPCS Level II code G9981 designates a remote in-home evaluation and management visit for a new patient, used only within the Medicare-approved BPCI Advanced bundled payment model. The code captures a comprehensive, synchronous telehealth encounter—including a comprehensive history, comprehensive exam, and moderate-complexity medical decision making—typically lasting about 45 minutes and intended for moderate to high severity problems. Nationally, this code matters because it standardizes billing within a high-profile Medicare bundled payment initiative and affects how post-acute and home-based care is documented and reimbursed under bundled arrangements.

Key payers in scope for national practice considerations include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what the code represents clinically and operationally, which payers are commonly relevant, and what elements define an appropriate service under the code. The publication provides benchmarks and policy context relevant to bundled payment workflows, documentation expectations for synchronous telehealth evaluations, and how this code fits into broader post-acute care management under value-based payment models. Data not available in the input for certain fields (such as associated taxonomies, ICD-10 diagnoses, and related codes) is noted where applicable in the broader publication.