HCPCS Level II · Procedures and professional services (temporary)
G9738Patient refused to participate
Terminated 12/31/2020
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About G9738
G9738 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing patient refused to participate.
It was added to HCPCS effective 01/01/2017, and its current record took effect 01/01/2021.
It was terminated on 12/31/2020 and can't be billed for later dates of service.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Refused to participate
- Date added
- 01/01/2017
- Action effective
- 01/01/2021
- Termination date
- 12/31/2020
- BETOS
- Z2
Related G97xx codes
- G9700Patients who use hospice services any time during the measurement period
- G9702Patients who use hospice services any time during the measurement period
- G9703Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date
- G9704Ajcc breast cancer stage i: t1 mic or t1a documented
- G9705Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented
- G9706Low (or very low) risk of recurrence, prostate cancer
- G9708Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
- G9709Hospice services used by patient any time during the measurement period
- G9710Patient was provided hospice services any time during the measurement period
- G9711Patients with a diagnosis or past history of total colectomy or colorectal cancer
- G9712Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis
- G9713Patients who use hospice services any time during the measurement period
Common questions about G9738
Is HCPCS G9738 still valid?
- No. G9738 was terminated on 12/31/2020.
Does Medicare cover G9738?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.