G9395 HCPCS Level II code: Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9…
G9395 is the HCPCS code for “Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9395Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five
Short description: Ini phq9 >9 no remiss >=5
HCPCS · United States
Medicare details
The indicators CMS publishes with G9395 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
- Undefined codes
- Added
- Jan 1, 2015
Where G9395 sits
- 1G codesProcedures and professional services
- 2Active code G9395Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five
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 G9395 mean?
G9395 is the HCPCS code for “Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9395?
CMS lists G9395’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 G9395
All G codesG9389Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgeryG9390No unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgeryG9391Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visitG9392Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visitG9393Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than fiveG9394Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the…G9396Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days)G9399Documentation in the patient record of a discussion between the physician/clinician and the patient that includes all of the following: treatment choices appropriate to genotype…G9400Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental…G9401No documentation in the patient record of a discussion between the physician or other qualified healthcare professional and the patient that includes all of the following…G9402Patient received follow-up within 30 days after dischargeG9403Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient…