G9585 HCPCS Level II code: Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at…
CMS terminated G9585: its last date of service was Dec 31, 2021. It stays here for looking up older claims; newer services need a current code.
Official description
G9585Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy
Short description: No eval opi use instr/intv
HCPCS · United States
Medicare details
The indicators CMS publishes with G9585 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, 2021
Where G9585 sits
- 1G codesProcedures and professional services
- 2Terminated G9585Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy
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 G9585 still valid?
No. CMS terminated G9585; its last date of service was Dec 31, 2021. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9585?
CMS lists G9585’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 G9585
All G codesG9579No documentation of signed an opioid treatment agreement at least once during opioid therapyG9580Door to puncture time of 90 minutes or lessG9581Door to puncture time of greater than 2 hours for reasons documented by clinician (e.g., patients who are transferred from one institution to another with a known diagnosis of…G9582Door to puncture time of greater than 90 minutes, no reason givenG9583Patients prescribed opiates for longer than six weeksG9584Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapyG9593Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rulesG9594Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care providerG9595Patient has documentation of ventricular shunt, brain tumor, or coagulopathyG9596Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than traumaG9597Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rulesG9598Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct