G8401 HCPCS Level II code: Clinician documented that patient was not an eligible candidate for screening
CMS terminated G8401: its last date of service was Dec 31, 2016. It stays here for looking up older claims; newer services need a current code.
Official description
G8401Clinician documented that patient was not an eligible candidate for screening
Short description: Pt inelig osteo screen measu
HCPCS · United States
Medicare details
The indicators CMS publishes with G8401 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Specialist - other
- Added
- Jan 1, 2008
- Terminated after
- Dec 31, 2016
Where G8401 sits
- 1G codesProcedures and professional services
- 2Terminated G8401Clinician documented that patient was not an eligible candidate for screening
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code G8401 still valid?
No. CMS terminated G8401; its last date of service was Dec 31, 2016. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G8401?
CMS lists G8401’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G8401
All G codesG8395Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic functionG8396Left ventricular ejection fraction (lvef) not performed or documentedG8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathyG8398Dilated macular or fundus exam not performedG8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performedG8400Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not givenG8404Lower extremity neurological exam performed and documentedG8405Lower extremity neurological exam not performedG8406Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measureG8410Footwear evaluation performed and documentedG8415Footwear evaluation was not performedG8416Clinician documented that patient was not an eligible candidate for footwear evaluation measure