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HCPCS Level II · Procedures and professional services (temporary)

G9400Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons

Terminated 12/31/2021

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About G9400

G9400 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons.

It was added to HCPCS effective 01/01/2015, and its current record took effect 01/01/2022.

It was terminated on 12/31/2021 and can't be billed for later dates of service.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Doc reas no disc tx opt
Date added
01/01/2015
Action effective
01/01/2022
Termination date
12/31/2021
BETOS
Z2

Related G94xx codes

Common questions about G9400

Is HCPCS G9400 still valid?

No. G9400 was terminated on 12/31/2021.

Does Medicare cover G9400?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.