G9893 HCPCS Level II Code: Dilated macular exam was not performed, reason not otherwise specified
Medicare Coverage & Payment
- CMS short descriptor: No mac exam
- 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, 2025
- Terminated: December 31, 2024
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, 2025.
Contextual Map
Every relationship of G9893 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]— CMS HCPCS Level II code set
- G9853 — Patient admitted to the icu in the last 30 days of life[Sibling]— CMS HCPCS Level II code set
- G9854 — Patient was not admitted to the icu in the last 30 days of life[Sibling]— CMS HCPCS Level II code set
- G9855 — Patients who died from cancer[Sibling]— CMS HCPCS Level II code set
- G9856 — Patient was not admitted to hospice[Sibling]— CMS HCPCS Level II code set
- G9857 — Patient admitted to hospice[Sibling]— CMS HCPCS Level II code set
- G9858 — Patient enrolled in hospice[Sibling]— CMS HCPCS Level II code set
- G9859 — Patients who died from cancer[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history (2)
- January 1, 2025 — 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, 2025Removed from the code setDilated macular exam was not performed, reason not otherwise specified
- January 1, 2018Added to the code setDilated macular exam was not performed, reason not otherwise specified
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9893 in its code family, with their registry titles.
- 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…
- G9891 — 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…
- G9892 — Documentation of patient reason(s) for not performing a dilated macular examination
- 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
- G9897 — Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given
- G9898 — Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period