G8531 HCPCS Level II code: Clinician documented that patient was not an eligible candidate for autogenous av fistula
CMS terminated G8531: its last date of service was Dec 31, 2015. It stays here for looking up older claims; newer services need a current code.
Official description
G8531Clinician documented that patient was not an eligible candidate for autogenous av fistula
Short description: Pt inelig; auto av fistula
HCPCS · United States
Medicare details
The indicators CMS publishes with G8531 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, 2009
- Terminated after
- Dec 31, 2015
Where G8531 sits
- 1G codesProcedures and professional services
- 2Terminated G8531Clinician documented that patient was not an eligible candidate for autogenous av fistula
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 G8531 still valid?
No. CMS terminated G8531; its last date of service was Dec 31, 2015. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G8531?
CMS lists G8531’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 G8531
All G codesG8502All quality actions for the applicable measures in the back pain measures group have been performed for this patientG8506Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapyG8509Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not givenG8510Screening for depression is documented as negative, a follow-up plan is not requiredG8511Screening for depression documented as positive, follow-up plan not documented, reason not givenG8530Autogenous av fistula receivedG8532Clinician documented that patient received vascular access other than autogenous av fistula, reason not givenG8535Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the…G8536No documentation of an elder maltreatment screen, reason not givenG8539Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional…G8540Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the…G8541Functional outcome assessment using a standardized tool not documented, reason not given