G9526 HCPCS Level II code: Patient was not referred to hospice care, reason not given
CMS terminated G9526: its last date of service was Dec 31, 2020. It stays here for looking up older claims; newer services need a current code.
Official description
G9526Patient was not referred to hospice care, reason not given
Short description: No reason, no refer hospice
HCPCS · United States
Medicare details
The indicators CMS publishes with G9526 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, 2016
- Terminated after
- Dec 31, 2020
Where G9526 sits
- 1G codesProcedures and professional services
- 2Terminated G9526Patient was not referred to hospice care, 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 G9526 still valid?
No. CMS terminated G9526; its last date of service was Dec 31, 2020. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9526?
CMS lists G9526’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 G9526
All G codesG9520Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgeryG9521Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 monthsG9522Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not givenG9523Patient discontinued from hemodialysis or peritoneal dialysisG9524Patient was referred to hospice careG9525Documentation of patient reason(s) for not referring to hospice care (e.g., patient declined, other patient reasons)G9529Patient with minor blunt head trauma had an appropriate indication(s) for a head ctG9530Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care providerG9531Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor…G9532Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than traumaG9533Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ctG9534Advanced brain imaging (cta, ct, mra or mri) was not ordered