HCPCS Code G9964

Patient received at least one well-child visit with a pcp during the performance period
Code effective Jan 01, 2018

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9964 is a valid 2026 HCPCS code meaning Patient received at least one well-child visit with a pcp during the performance period or (Pt recv >=1 well-chld visit) for short. HCPCS G9964 has been effective since 01/01/2018 and applies to Medical care.

HCPCS Code Details - G9964

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9964
Description

Long description:
Patient received at least one well-child visit with a pcp during the performance period

Short description:
Pt recv >=1 well-chld visit

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, 2018
Date added Added Jan 01, 2018

See also

  • HCPCS G9963 · Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy

  • HCPCS G2154 · Patient received at least one td vaccine or one tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period

  • HCPCS G2160 · Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period

  • HCPCS G9775 · Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively

  • HCPCS M1171 · Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period

  • HCPCS M1174 · Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period

  • HCPCS G9965 · Patient did not receive at least one well-child visit with a pcp during the performance period

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.