HCPCS Code G9861

Patient spent greater than or equal to three days in hospice care
Code effective Jan 01, 2017

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9861 is a valid 2026 HCPCS code meaning Patient spent greater than or equal to three days in hospice care or (Pt more than 3d hospice) for short. HCPCS G9861 has been effective since 01/01/2017 and applies to Medical care.

HCPCS Code Details - G9861

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9861
Description

Long description:
Patient spent greater than or equal to three days in hospice care

Short description:
Pt more than 3d hospice

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, 2017
Date added Added Jan 01, 2017

See also

  • HCPCS G9860 · Patient spent less than three days in hospice care

  • HCPCS G9862 · Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons)

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.