hcpcs data

G9248

Patient did not have a medical visit in the last 6 months

Medicare: Carrier judgmentG seriesAdded January 01, 2014

What G9248 means

G9248 (No med visit 6mo) 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
No med visit 6mo
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, 2015
Code added date
January 01, 2014
Data year
2026

Questions about G9248

What is HCPCS code G9248?

HCPCS code G9248 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Patient did not have a medical visit in the last 6 months"

Is G9248 a CPT code?

No. G9248 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 G9248?

The Medicare coverage code for G9248 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 G9248 added?

G9248 was added to the HCPCS code set on January 01, 2014. The most recent action on it (No maintenance for this code) took effect on January 01, 2015.

All G codes