HCPCS Code G9521

Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months
Code effective Jan 01, 2016

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9521 is a valid 2026 HCPCS code meaning Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months or (Er and ip hosp <2 in 12 mos) for short. HCPCS G9521 has been effective since 01/01/2016 and applies to Medical care.

HCPCS Code Details - G9521

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9521
Description

Long description:
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months

Short description:
Er and ip hosp <2 in 12 mos

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, 2016
Date added Added Jan 01, 2016

See also

  • HCPCS G9520 · Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery

  • HCPCS G9522 · Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given

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.