G9854 HCPCS Level II code: Patient was not admitted to the icu in the last 30 days of life
CMS terminated G9854: 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
G9854Patient was not admitted to the icu in the last 30 days of life
Short description: No icu stay last 30d life
HCPCS · United States
Medicare details
The indicators CMS publishes with G9854 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, 2017
- Terminated after
- Dec 31, 2023
Where G9854 sits
- 1G codesProcedures and professional services
- 2Terminated G9854Patient was not admitted to the icu in the last 30 days of life
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 G9854 still valid?
No. CMS terminated G9854; 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 G9854?
CMS lists G9854’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 G9854
All G codesG9848Patient did not receive systemic cancer-directed therapy in the last 14 days of lifeG9849Patients who died from cancerG9850Patient had more than one emergency department visit in the last 30 days of lifeG9851Patient had one or less emergency department visits in the last 30 days of lifeG9852Patients who died from cancerG9853Patient admitted to the icu in the last 30 days of lifeG9855Patients who died from cancerG9856Patient was not admitted to hospiceG9857Patient admitted to hospiceG9858Patient enrolled in hospiceG9859Patients who died from cancerG9860Patient spent less than three days in hospice care