G9561 HCPCS Level II Code: Patients prescribed opiates for longer than six weeks
Medicare Coverage & Payment
- CMS short descriptor: Presc opiates >6 wks
- 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, 2022
- Terminated: December 31, 2021
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, 2022.
Contextual Map
Every relationship of G9561 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)
- G9539 — Intent for potential removal at time of placement[Sibling]— CMS HCPCS Level II code set
- G9540 — Patient alive 3 months post procedure[Sibling]— CMS HCPCS Level II code set
- G9541 — Filter removed within 3 months of placement[Sibling]— CMS HCPCS Level II code set
- G9542 — Documented re-assessment for the appropriateness of filter removal within 3 months of placement[Sibling]— CMS HCPCS Level II code set
- G9543 — Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement[Sibling]— CMS HCPCS Level II code set
- G9544 — Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement[Sibling]— CMS HCPCS Level II code set
- G9547 — Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols[Sibling]— CMS HCPCS Level II code set
- G9548 — Final reports for imaging studies stating no follow-up imaging is recommended[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history (2)
- January 1, 2022 — 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, 2022Removed from the code setPatients prescribed opiates for longer than six weeks
- January 1, 2016Added to the code setPatients prescribed opiates for longer than six weeks
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9561 in its code family, with their registry titles.
- G9556 — Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended
- G9557 — Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found
- G9558 — Patient treated with a beta-lactam antibiotic as definitive therapy
- G9559 — Documentation of medical reason(s) for not prescribing a beta-lactam antibiotic (e.g., allergy, intolerance to beta-lactam antibiotics)
- G9560 — Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given
- G9562 — Patients who had a follow-up evaluation conducted at least every three months during opioid therapy
- G9563 — Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy
- G9572 — Index date phq-score greater than 9 documented during the twelve month denominator identification period
- G9573 — Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
- G9574 — Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than…