G4009 — Hospitalists mips specialty set
G4009 is a HCPCS Level II code for hospitalists mips specialty set. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G4009
- Long descriptor
- Hospitalists mips specialty set
- Short descriptor
- Hospitalists ss
- Added
- January 1, 2022
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G4009
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G4009 is not quite right, the correct code is very often within a few positions of it.
- G4001Diagnostic radiology mips specialty set
- G4002Electrophysiology cardiac specialist mips specialty set
- G4003Emergency medicine mips specialty set
- G4004Endocrinology mips specialty set
- G4005Family medicine mips specialty set
- G4006Gastro-enterology mips specialty set
- G4007General surgery mips specialty set
- G4008Geriatrics mips specialty set
- G4010Infectious disease mips specialty set
- G4011Internal medicine mips specialty set
- G4012Interventional radiology mips specialty set
- G4013Mental/behavioral and psychiatry mips specialty set
- G4014Nephrology mips specialty set
- G4015Neurology mips specialty set
- G4016Neurosurgical mips specialty set
- G4017Nutrition/dietician mips specialty set
Questions about G4009
What is HCPCS code G4009?
G4009 is a HCPCS Level II code for hospitalists mips specialty set. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G4009?
The CMS HCPCS file marks G4009 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G4009 paid under the physician fee schedule?
G4009 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.