HCPCS Code G9227

Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter
Code effective Jan 01, 2018

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9227 is a valid 2026 HCPCS code meaning Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter or (Foa doc, care plan not doc) for short. HCPCS G9227 has been effective since 01/01/2018 and applies to Medical care.

HCPCS Code Details - G9227

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9227
Description

Long description:
Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter

Short description:
Foa doc, care plan not doc

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 M5B - Specialist - psychiatry
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2014

See also

  • HCPCS G9226 · Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)

  • HCPCS G8539 · Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment

  • HCPCS G8540 · Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter

  • HCPCS G8541 · Functional outcome assessment using a standardized tool not documented, reason not given

  • HCPCS G8542 · Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required

  • HCPCS G8942 · Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment

  • HCPCS G9228 · Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)

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

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