G9511 HCPCS Level II Code: Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period
Medicare Coverage & Payment
- CMS short descriptor: Idx evt dte phq>9 doc 12 mo
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2019
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.
Contextual Map
Every relationship of G9511 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)
- G9500 — Radiation exposure indices documented in final report for procedure using fluoroscopy[Sibling]
- G9501 — Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given[Sibling]
- G9502 — Documentation of medical reason for not performing foot exam (i.e., patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period)[Sibling]
- G9503 — Patient taking tamsulosin hydrochloride[Sibling]
- G9504 — Documented reason for not assessing hepatitis b virus (hbv) status (e.g., patient not initiating anti-tnf therapy, patient declined) prior to initiating anti-tnf therapy[Sibling]
- G9505 — Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason[Sibling]
- G9506 — Biologic immune response modifier prescribed[Sibling]
- G9507 — Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)[Sibling]
- and 32 more
Change history
- January 1, 2016 — Added to the code set [Change history]
Sources for this page
Every coding fact on this page is read from the datasets below. Nothing is AI-generated; MedCoder-derived relationships and editorial are labelled where they appear.
- Code, descriptors, coverage and pricing attributes
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update
- Change history and date-of-service validity
- CMS HCPCS quarterly update files, ingested into the change ledger
- Comparisons, relationships and the contextual map MedCoder-derived
- Derived by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Change history
- January 1, 2016Added to the code setIndex event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9511 in its code family, with their registry titles.
- G9506 — Biologic immune response modifier prescribed
- G9507 — Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by…
- G9508 — Documentation that the patient is not on a statin medication
- G9509 — Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
- G9510 — Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less…
- G9512 — Individual had a pdc of 0.8 or greater
- G9513 — Individual did not have a pdc of 0.8 or greater
- G9514 — Patient required a return to the operating room within 90 days of surgery
- G9515 — Patient did not require a return to the operating room within 90 days of surgery
- G9516 — Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery