HCPCS code G9997
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
What G9997 means
G9997 (Doc pt preg dur msrmt pd) 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
- Doc pt preg dur msrmt pd
- 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, 2022
- Code added date
- January 01, 2022
- Data year
- 2026
Questions about G9997
What is HCPCS code G9997?
HCPCS code G9997 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter"
Is G9997 a CPT code?
No. G9997 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 G9997?
The Medicare coverage code for G9997 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 G9997 added?
G9997 was added to the HCPCS code set on January 01, 2022. The most recent action on it (No maintenance for this code) took effect on January 01, 2022.
Nearby G codes
All G codes- G9992Palliative care services used by patient any time during the measurement period
- G9993Patient was provided palliative care services any time during the measurement period
- G9994Patient is using palliative care services any time during the measurement period
- G9995Patients who use palliative care services any time during the measurement period
- G9996Documentation stating the patient has received or is currently receiving palliative or hospice care
- G9998Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])
- G9999Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)