G9213 HCPCS Level II code: Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
G9213 is the HCPCS code for “Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9213Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
Short description: No doc of dsm-iv
HCPCS · United States
Medicare details
The indicators CMS publishes with G9213 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, 2014
Where G9213 sits
- 1G codesProcedures and professional services
- 2Active code G9213Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
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 G9213 mean?
G9213 is the HCPCS code for “Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9213?
CMS lists G9213’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 G9213
All G codesG9207Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis cG9208Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not givenG9209Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatmentG9210Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for documented reason(s) (e.g., patients whose treatment was…G9211Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not givenG9212Dsm-ivtm criteria for major depressive disorder documented at the initial evaluationG9214Cd4+ cell count or cd4+ cell percentage results documentedG9215Cd4+ cell count or percentage not documented as performed, reason not givenG9216Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not givenG9217Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not givenG9218Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not givenG9219Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above…