G9249 HCPCS Level II code: Patient had a medical visit in the last 6 months
CMS terminated G9249: its last date of service was Dec 31, 2014. It stays here for looking up older claims; newer services need a current code.
Official description
G9249Patient had a medical visit in the last 6 months
Short description: Med visit w in 6mo
HCPCS · United States
Medicare details
The indicators CMS publishes with G9249 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
- Terminated after
- Dec 31, 2014
Where G9249 sits
- 1G codesProcedures and professional services
- 2Terminated G9249Patient had a medical visit in the last 6 months
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 G9249 still valid?
No. CMS terminated G9249; its last date of service was Dec 31, 2014. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9249?
CMS lists G9249’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 G9249
All G codesG9243Documentation of viral load less than 200 copies/mlG9244Antiretroviral thereapy not prescribedG9245Antiretroviral therapy prescribedG9246Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apartG9247Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apartG9248Patient did not have a medical visit in the last 6 monthsG9250Documentation of patient pain brought to a comfortable level within 48 hours from initial assessmentG9251Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessmentG9252Adenoma(s) or other neoplasm detected during screening colonoscopyG9253Adenoma(s) or other neoplasm not detected during screening colonoscopyG9254Documentation of patient discharged to home later than post-operative day 2 following cea or casG9255Documentation of patient discharged to home no later than post operative day 2 following cea or cas