G9359 HCPCS Level II code: Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier
CMS terminated G9359: 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
G9359Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier
Short description: Neg mgd pos tb notact
HCPCS · United States
Medicare details
The indicators CMS publishes with G9359 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 G9359 sits
- 1G codesProcedures and professional services
- 2Terminated G9359Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier
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 G9359 still valid?
No. CMS terminated G9359; 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 G9359?
CMS lists G9359’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 G9359
All G codesG9353More 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…G9354One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosisG9355Elective 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 performedG9360No documentation of negative or managed positive tb screenG9361Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental…G9362Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as…G9363Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial…G9364Sinusitis caused by, or presumed to be caused by, bacterial infectionG9365One high-risk medication ordered