G8853 HCPCS Level II code: Positive airway pressure therapy not prescribed
CMS terminated G8853: 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
G8853Positive airway pressure therapy not prescribed
Short description: Pos air press not prescribe
HCPCS · United States
Medicare details
The indicators CMS publishes with G8853 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
- Terminated after
- Dec 31, 2016
Where G8853 sits
- 1G codesProcedures and professional services
- 2Terminated G8853Positive airway pressure therapy not prescribed
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 G8853 still valid?
No. CMS terminated G8853; 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 G8853?
CMS lists G8853’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 G8853
All G codesG8846Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)G8848Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of less than 15)G8849Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial…G8850Positive airway pressure therapy not prescribed, reason not givenG8851Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)G8852Positive airway pressure therapy was prescribedG8854Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an…G8855Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not…G8856Referral to a physician for an otologic evaluation performedG8857Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)G8858Referral to a physician for an otologic evaluation not performed, reason not givenG8859Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days