HCPCS Code G9639

Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure
Code effective Jan 01, 2022

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9639 is a valid 2026 HCPCS code meaning Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure or (Amp no reqd in48h ieler proc) for short. HCPCS G9639 has been effective since 01/01/2022 and applies to Medical care.

HCPCS Code Details - G9639

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9639
Description

Long description:
Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure

Short description:
Amp no reqd in48h ieler proc

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, 2022
Date added Added Jan 01, 2016
Termination date Dec 31, 2021

See also

  • HCPCS G9638 · Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)

  • HCPCS G9641 · Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure

  • HCPCS G9640 · Documentation of planned hybrid or staged procedure

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.