G9918 HCPCS Level II code: Functional status not performed, reason not otherwise specified
G9918 is the HCPCS code for “Functional status not performed, reason not otherwise specified” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9918Functional status not performed, reason not otherwise specified
Short description: No funct stat perf, rsn nos
HCPCS · United States
Medicare details
The indicators CMS publishes with G9918 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 G9918 sits
- 1G codesProcedures and professional services
- 2Active code G9918Functional status not performed, reason not otherwise specified
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 G9918 mean?
G9918 is the HCPCS code for “Functional status not performed, reason not otherwise specified” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9918?
CMS lists G9918’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 G9918
All G codesG9912Hepatitis 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 documentedG9916Functional status performed once in the last 12 monthsG9917Documentation of advanced stage dementia and caregiver knowledge is limitedG9919Screening 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 recommendationsG9923Safety concerns screen provided and negativeG9924Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in…