G9975 HCPCS Level II Code: Documentation of medical reason(s) for not performing a dilated macular examination
Medicare Coverage & Payment
- CMS short descriptor: Doc med rsn no dil 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 G9975 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)
- G9948 — Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy[Sibling]— CMS HCPCS Level II code set
- G9949 — Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively[Sibling]— CMS HCPCS Level II code set
- G9954 — Patient exhibits 2 or more risk factors for post-operative vomiting[Sibling]— CMS HCPCS Level II code set
- G9955 — Cases in which an inhalational anesthetic is used only for induction[Sibling]— CMS HCPCS Level II code set
- G9956 — Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively[Sibling]— CMS HCPCS Level II code set
- G9957 — Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)[Sibling]— CMS HCPCS Level II code set
- G9958 — Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively[Sibling]— CMS HCPCS Level II code set
- G9959 — Systemic antimicrobials not prescribed[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 setDocumentation of medical reason(s) for not performing a dilated macular examination
- January 1, 2018Added to the code setDocumentation of medical reason(s) for not performing a dilated macular examination
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9975 in its code family, with their registry titles.
- G9967 — Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report
- G9968 — Patient was referred to another clinician or specialist during the measurement period
- G9969 — Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred
- G9970 — Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred
- G9974 — Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity
- G9978 — Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which…
- G9979 — Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which…
- G9980 — Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which…
- G9981 — Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which…
- G9982 — Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which…