G8709 HCPCS Level II code: Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection…
G8709 is the HCPCS code for “Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G8709Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)
Short description: Uri ep compete diag
HCPCS · United States
Medicare details
The indicators CMS publishes with G8709 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 - psychiatry
- Added
- Jan 1, 2012
Where G8709 sits
- 1G codesProcedures and professional services
- 2Active code G8709Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)
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
What does HCPCS code G8709 mean?
G8709 is the HCPCS code for “Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G8709?
CMS lists G8709’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 G8709
All G codesG8703Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperativelyG870412-lead electrocardiogram (ecg) performedG8705Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg)G8706Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)G870712-lead electrocardiogram (ecg) not performed, reason not givenG8708Patient not prescribed antibioticG8710Patient prescribed antibioticG8711Prescribed antibiotic on or within 3 days after the episode dateG8712Antibiotic not prescribed or dispensedG8713Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])G8714Hemodialysis treatment performed exactly three times per week for > 90 daysG8717Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given