G9916 HCPCS Level II code: Functional status performed once in the last 12 months
G9916 is the HCPCS code for “Functional status performed once in the last 12 months” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9916Functional status performed once in the last 12 months
Short description: Funct status past 12 months
HCPCS · United States
Medicare details
The indicators CMS publishes with G9916 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, 2018
Where G9916 sits
- 1G codesProcedures and professional services
- 2Active code G9916Functional status performed once in the last 12 months
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 G9916 mean?
G9916 is the HCPCS code for “Functional status performed once in the last 12 months” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9916?
CMS lists G9916’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 G9916
All G codesG9910Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the…G9911Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapyG9912Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapyG9913Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise specifiedG9914Patient initiated an anti-tnf agentG9915No record of hbv results documentedG9917Documentation of advanced stage dementia and caregiver knowledge is limitedG9918Functional status not performed, reason not otherwise specifiedG9919Screening performed and positive and provision of recommendationsG9920Screening performed and negativeG9921No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specifiedG9922Safety concerns screen provided and if positive then documented mitigation recommendations