hcpcs data

G9125

Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)

Medicare: Carrier judgmentG seriesAdded January 01, 2006

What G9125 means

G9125 (Onc dx cml blast phase) belongs to the HCPCS Level II G series (Procedures / Professional Services (Temporary)). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.).

Code details

Short description
Onc dx cml blast phase
Coverage code
C = Carrier judgment
Pricing indicator
00 = 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 (pricing indicator is 00) or value is not established(pricing indicator is '99')
Type of service
1 = Medical care
Action code
N = No maintenance for this code
Action effective date
January 01, 2007
Code added date
January 01, 2006
Data year
2026

Questions about G9125

What is HCPCS code G9125?

HCPCS code G9125 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)"

Is G9125 a CPT code?

No. G9125 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code G9125?

The Medicare coverage code for G9125 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code G9125 added?

G9125 was added to the HCPCS code set on January 01, 2006. The most recent action on it (No maintenance for this code) took effect on January 01, 2007.

All G codes