HCPCS Code Details - G9561

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9561
Description

Long description:
Patients prescribed opiates for longer than six weeks

Short description:
Presc opiates >6 wks

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, 2016
Date added Added Jan 01, 2016
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 G9560 · Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given

  • HCPCS G9577 · Patients prescribed opiates for longer than six weeks

  • HCPCS G9583 · Patients prescribed opiates for longer than six weeks

  • HCPCS G9562 · Patients who had a follow-up evaluation conducted at least every three months during opioid therapy


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”