HCPCS Code Details - G9526

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9526

Long description:
Patient was not referred to hospice care, reason not given

Short description:
No reason, no refer hospice

HCPCS Modifier1
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, 2021
Date added Added Jan 01, 2016
Termination date Dec 31, 2020
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G9525 · Documentation of patient reason(s) for not referring to hospice care (e.g., patient declined, other patient reasons)

  • HCPCS G8568 · Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given

  • HCPCS G9804 · Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami

  • HCPCS G9854 · Patient was not admitted to the icu in the last 30 days of life

  • HCPCS G9856 · Patient was not admitted to hospice

  • HCPCS G9529 · Patient with minor blunt head trauma had an appropriate indication(s) for a head ct

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”