HCPCS G-Codes
Procedures/Professional Services (Temporary Codes)

Temporary G codes are assigned to services and procedures that are under review before being included in the CPT coding system. Payment for these services is under the jurisdiction of the local carriers.


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  • G9345

    Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors
  • G9346

    Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules due to medical reasons (e.g., patients with known malignant disease, patients with unexplained fever, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
  • G9347

    Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given
  • G9348

    Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons
  • G9349

    Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
  • G9350

    Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis
  • G9351

    More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis
  • G9352

    More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given
  • G9353

    More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)
  • G9354

    One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis
  • G9355

    Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)
  • G9356

    Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)
  • G9357

    Post-partum screenings, evaluations and education performed
  • G9358

    Post-partum screenings, evaluations and education not performed
  • G9359

    Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier
  • G9360

    No documentation of negative or managed positive tb screen
  • G9361

    Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)]
  • G9362

    Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as documented in the anesthesia record
  • G9363

    Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia less than 60 minutes, as documented in the anesthesia record
  • G9364

    Sinusitis caused by, or presumed to be caused by, bacterial infection
  • G9365

    One high-risk medication ordered
  • G9366

    One high-risk medication not ordered
  • G9367

    At least two orders for high-risk medications from the same drug class
  • G9368

    At least two orders for high-risk medications from the same drug class not ordered
  • G9369

    Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater
  • G9370

    Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater
  • G9376

    Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery
  • G9377

    Patient did not have the retina attached after 6 months following only one surgery
  • G9378

    Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)
  • G9379

    Patient did not achieve flat retinas six months post surgery
  • G9380

    Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period
  • G9381

    Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period
  • G9382

    Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period
  • G9383

    Patient received screening for hcv infection within the 12 month reporting period
  • G9384

    Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)
  • G9385

    Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons)
  • G9386

    Screening for hcv infection not received within the 12 month reporting period, reason not given
  • G9389

    Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery
  • G9390

    No unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery
  • G9391

    Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit
  • G9392

    Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit
  • G9393

    Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five
  • G9394

    Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period
  • G9395

    Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five
  • G9396

    Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days)
  • G9399

    Documentation in the patient record of a discussion between the physician/clinician and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward the outcome of the treatment
  • G9400

    Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons
  • G9401

    No documentation in the patient record of a discussion between the physician or other qualified healthcare professional and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward treatment
  • G9402

    Patient received follow-up within 30 days after discharge
  • G9403

    Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up)

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/5/2026

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