G9891 HCPCS Level II Code: Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) HCPCS code for a session furnished by the billing supplier under the mdpp expanded model and counting toward…
Medicare Coverage & Payment
- CMS short descriptor: Em session reporting
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Y1 — Other - Medicare fee schedule
- Last CMS action effective: April 1, 2018
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 G9891 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)
- G9852 — Patients who died from cancer[Sibling]
- G9853 — Patient admitted to the icu in the last 30 days of life[Sibling]
- G9854 — Patient was not admitted to the icu in the last 30 days of life[Sibling]
- G9855 — Patients who died from cancer[Sibling]
- G9856 — Patient was not admitted to hospice[Sibling]
- G9857 — Patient admitted to hospice[Sibling]
- G9858 — Patient enrolled in hospice[Sibling]
- G9859 — Patients who died from cancer[Sibling]
- and 32 more
Change history
- April 1, 2018 — 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
- April 1, 2018Added to the code setMdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9891 in its code family, with their registry titles.
- G9885 — Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance…
- G9886 — Behavioral counseling for diabetes prevention, in-person, group, 60 minutes
- G9887 — Behavioral counseling for diabetes prevention, distance learning, 60 minutes
- G9888 — Maintenance 5% wl from baseline weight in months 7-12
- G9890 — Bridge payment: a one-time payment for the first medicare diabetes prevention program (mdpp) core session, core maintenance session, or ongoing maintenance session furnished by an mdpp supplier to an…
- G9892 — Documentation of patient reason(s) for not performing a dilated macular examination
- G9893 — Dilated macular exam was not performed, reason not otherwise specified
- G9894 — Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate
- G9895 — Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g., salvage therapy)
- G9896 — Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate