G9251 HCPCS Level II code: Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
CMS terminated G9251: its last date of service was Dec 31, 2022. It stays here for looking up older claims; newer services need a current code.
Official description
G9251Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
Short description: Doc no pain comfort 48hr
HCPCS · United States
Medicare details
The indicators CMS publishes with G9251 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, 2022
Where G9251 sits
- 1G codesProcedures and professional services
- 2Terminated G9251Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
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 G9251 still valid?
No. CMS terminated G9251; its last date of service was Dec 31, 2022. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9251?
CMS lists G9251’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 G9251
All G codesG9245Antiretroviral 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 monthsG9249Patient had a medical visit in the last 6 monthsG9250Documentation of patient pain 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 casG9256Documentation of patient death following casG9257Documentation of patient stroke following cas