G9264 HCPCS Level II Code: Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous…
Medicare Coverage & Payment
- CMS short descriptor: Doc rsn hemod w/cath >=90d
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: M5B — Specialist - psychiatry
- Last CMS action effective: January 1, 2021
- Terminated: December 31, 2020
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Code Set: Removed from the code set — not valid on or after January 1, 2021.
Contextual Map
Every relationship of G9264 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G9244 — Antiretroviral thereapy not prescribed[Sibling]— CMS HCPCS Level II code set
- G9245 — Antiretroviral therapy prescribed[Sibling]— CMS HCPCS Level II code set
- G9246 — Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart[Sibling]— CMS HCPCS Level II code set
- G9247 — Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart[Sibling]— CMS HCPCS Level II code set
- G9248 — Patient did not have a medical visit in the last 6 months[Sibling]— CMS HCPCS Level II code set
- G9249 — Patient had a medical visit in the last 6 months[Sibling]— CMS HCPCS Level II code set
- G9250 — Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment[Sibling]— CMS HCPCS Level II code set
- G9251 — Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history (2)
- January 1, 2021 — Removed from the code set [Change history]— CMS release files (code change ledger)
- and 1 more
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2021Removed from the code setDocumentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)
- January 1, 2014Added to the code setDocumentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9264 in its code family, with their registry titles.
- G9259 — Documentation of patient survival and absence of stroke following cas
- G9260 — Documentation of patient death following cea
- G9261 — Documentation of patient survival and absence of stroke following cea
- G9262 — Documentation of patient death in the hospital following endovascular aaa repair
- G9263 — Documentation of patient discharged alive following endovascular aaa repair
- G9265 — Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access
- G9266 — Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access
- G9267 — Documentation of patient with one or more complications or mortality within 30 days
- G9268 — Documentation of patient with one or more complications within 90 days
- G9269 — Documentation of patient without one or more complications and without mortality within 30 days