G9856 HCPCS Level II code: Patient was not admitted to hospice
CMS terminated G9856: 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
G9856Patient was not admitted to hospice
Short description: Pt no hospice
HCPCS · United States
Medicare details
The indicators CMS publishes with G9856 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, 2020
Where G9856 sits
- 1G codesProcedures and professional services
- 2Terminated G9856Patient was not admitted to hospice
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 G9856 still valid?
No. CMS terminated G9856; 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 G9856?
CMS lists G9856’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 G9856
All G codesG9850Patient 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 lifeG9854Patient was not admitted to the icu in the last 30 days of lifeG9855Patients who died from cancerG9857Patient admitted to hospiceG9858Patient enrolled in hospiceG9859Patients who died from cancerG9860Patient spent less than three days in hospice careG9861Patient spent greater than or equal to three days in hospice careG9862Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had…