G9858 HCPCS Level II Code: Patient enrolled in hospice
Medicare Coverage & Payment
- CMS short descriptor: Pt enroll hospice
- 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, 2017
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 G9858 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)
- G9838 — Patient has metastatic disease at diagnosis[Sibling]— CMS HCPCS Level II code set
- G9839 — Anti-egfr monoclonal antibody therapy[Sibling]— CMS HCPCS Level II code set
- G9840 — Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab[Sibling]— CMS HCPCS Level II code set
- G9841 — Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr moab[Sibling]— CMS HCPCS Level II code set
- G9842 — Patient has metastatic disease at diagnosis[Sibling]— CMS HCPCS Level II code set
- G9843 — Ras (kras or nras) gene mutation[Sibling]— CMS HCPCS Level II code set
- G9844 — Patient did not receive anti-egfr monoclonal antibody therapy[Sibling]— CMS HCPCS Level II code set
- G9845 — Patient received anti-egfr monoclonal antibody therapy[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2017 — Added to the code set [Change history]— CMS release files (code change ledger)
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, 2017Added to the code setPatient enrolled in hospice
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9858 in its code family, with their registry titles.
- G9853 — Patient admitted to the icu in the last 30 days of life
- G9854 — Patient was not admitted to the icu in the last 30 days of life
- G9855 — Patients who died from cancer
- G9856 — Patient was not admitted to hospice
- G9857 — Patient admitted to hospice
- G9859 — Patients who died from cancer
- G9860 — Patient spent less than three days in hospice care
- G9861 — Patient spent greater than or equal to three days in hospice care
- G9862 — Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is…
- G9868 — Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes