HCPCS Code G9974

Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity
Code effective Jan 01, 2025

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9974 is a valid 2026 HCPCS code meaning Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity or (Mac exam perf) for short. HCPCS G9974 has been effective since 01/01/2025 and applies to Medical care.


HCPCS Code Details - G9974

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9974
Description

Long description:
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity

Short description:
Mac exam perf

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, 2025
Date added Added Jan 01, 2018
Termination date Dec 31, 2024

See also

  • HCPCS G9970 · Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred

  • HCPCS G9893 · Dilated macular exam was not performed, reason not otherwise specified

  • HCPCS G9975 · Documentation of medical reason(s) for not performing a dilated macular examination

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.