G9607 HCPCS Level II code: Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or…
G9607 is the HCPCS code for “Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death
Short description: Doc med rsn not perf cystosc
HCPCS · United States
Medicare details
The indicators CMS publishes with G9607 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
Where G9607 sits
- 1G codesProcedures and professional services
- 2Active code G9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death
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 G9607 mean?
G9607 is the HCPCS code for “Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9607?
CMS lists G9607’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 G9607
All G codesG9601Patient discharge to home no later than post-operative day #7G9602Patient not discharged to home by post-operative day #7G9603Patient survey score improved from baseline following treatmentG9604Patient survey results not availableG9605Patient survey score did not improve from baseline following treatmentG9606Intraoperative cystoscopy performed to evaluate for lower tract injuryG9608Intraoperative cystoscopy not performed to evaluate for lower tract injuryG9609Documentation of an order for anti-platelet agentsG9610Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agentsG9611Order for anti-platelet agents was not documented in the patient's record, reason not givenG9612Photodocumentation of two or more cecal landmarks to establish a complete examinationG9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)