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G9354 HCPCS Level II code: One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis

G9354 is the HCPCS code for “One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G9354

One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis

Short description: 1 or no ct sinus w/in 90d dx

HCPCS · United States

Medicare details

The indicators CMS publishes with G9354 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 G9354 sits

  1. 1G codesProcedures and professional services
  2. 2Active code G9354One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis

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.

See G9354 in the CMS source

Frequently asked questions

What does HCPCS code G9354 mean?

G9354 is the HCPCS code for “One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G9354?

CMS lists G9354’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 G9354

G9348Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasonsG9349Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosisG9350Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosisG9351More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosisG9352More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not givenG9353More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct…G9355Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)G9356Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)G9357Post-partum screenings, evaluations and education performedG9358Post-partum screenings, evaluations and education not performedG9359Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifierG9360No documentation of negative or managed positive tb screen