HCPCS Code G9520

Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
Code effective Jan 01, 2020

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9520 is a valid 2026 HCPCS code meaning Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery or (Refract not +/- 1.0 w/in 90d) for short. HCPCS G9520 has been effective since 01/01/2020 and applies to Medical care.

HCPCS Code Details - G9520

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9520
Description

Long description:
Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery

Short description:
Refract not +/- 1.0 w/in 90d

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 Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2020
Date added Added Jan 01, 2016

See also

  • HCPCS G9519 · Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery

  • HCPCS G2184 · Patient does not have a caregiver

  • HCPCS G8562 · Patient does not have a history of active drainage from the ear within the previous 90 days

  • HCPCS G8567 · Patient does not have verification and documentation of sudden or rapidly progressive hearing loss

  • HCPCS G9392 · Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit

  • HCPCS M1233 · Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given

  • HCPCS G9521 · Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months

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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