G9454 HCPCS Level II code: One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given
CMS terminated G9454: its last date of service was Dec 31, 2023. It stays here for looking up older claims; newer services need a current code.
Official description
G9454One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given
Short description: No scr hcv inf 12 mth rp
HCPCS · United States
Medicare details
The indicators CMS publishes with G9454 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
- Terminated after
- Dec 31, 2023
Where G9454 sits
- 1G codesProcedures and professional services
- 2Terminated G9454One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given
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 G9454 still valid?
No. CMS terminated G9454; its last date of service was Dec 31, 2023. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9454?
CMS lists G9454’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 G9454
All G codesG9448Patients who were born in the years 1945 to 1965G9449History of receiving blood transfusions prior to 1992G9450History of injection drug useG9451Patient received one-time screening for hcv infectionG9452Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancyG9453Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)G9455Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hccG9456Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years…G9457Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission periodG9458Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use…G9459Currently a tobacco non-userG9460Tobacco assessment or tobacco cessation intervention not performed, reason not given