HCPCS Level II · Procedures and professional services (temporary)
G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About G8397
G8397 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy.
It was added to HCPCS effective 01/01/2008.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Dil macula/fundus exam/w doc
- Date added
- 01/01/2008
- Action effective
- 01/01/2008
- BETOS
- M5D
Related G83xx codes
- G8395Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8396Left ventricular ejection fraction (lvef) not performed or documented
- G8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
Common questions about G8397
Is HCPCS G8397 still valid?
- Yes. G8397 is active in the CMS October 2026 HCPCS file.
Does Medicare cover G8397?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.