HCPCS Code G8398

Dilated macular or fundus exam not performed
Code effective Jan 01, 2021

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8398 is a valid 2026 HCPCS code meaning Dilated macular or fundus exam not performed or (Dil macular/fundus not perfo) for short. HCPCS G8398 has been effective since 01/01/2021 and applies to Medical care.

HCPCS Code Details - G8398

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G8398
Description

Long description:
Dilated macular or fundus exam not performed

Short description:
Dil macular/fundus not perfo

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M5D - Specialist - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2021
Date added Added Jan 01, 2008
Termination date Dec 31, 2020

See also

  • HCPCS G8397 · Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy

  • HCPCS G8399 · Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

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 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.