G8509 — Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given
G8509 is a HCPCS Level II code for pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2020 and is not valid on new claims.
This code has been terminated
CMS terminated G8509 on December 31, 2020. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
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.
The CMS record for G8509
- Long descriptor
- Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given
- Short descriptor
- Pos pain assess no f/u doc
- Added
- January 1, 2009
- Terminated
- December 31, 2020
- BETOS
- M5D
- 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.
When CMS retired it.
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 G8509
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8509 is not quite right, the correct code is very often within a few positions of it.
- G8496All quality actions for the applicable measures in the preventive care measures group have been performed for this patientterminated
- G8497All quality actions for the applicable measures in the coronary artery bypass graft (cabg) measures group have been performed for this patientterminated
- G8498All quality actions for the applicable measures in the coronary artery disease (cad) measures group have been performed for this patientterminated
- G8499All quality actions for the applicable measures in the rheumatoid arthritis (ra) measures group have been performed for this patientterminated
- G8500All quality actions for the applicable measures in the hiv/aids measures group have been performed for this patientterminated
- G8501All quality actions for the applicable measures in the perioperative care measures group have been performed for this patientterminated
- G8502All quality actions for the applicable measures in the back pain measures group have been performed for this patientterminated
- G8506Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapyterminated
- G8510Screening for depression is documented as negative, a follow-up plan is not required
- G8511Screening for depression documented as positive, follow-up plan not documented, reason not given
- G8530Autogenous av fistula receivedterminated
- G8531Clinician documented that patient was not an eligible candidate for autogenous av fistulaterminated
- G8532Clinician documented that patient received vascular access other than autogenous av fistula, reason not giventerminated
- G8535Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status
- G8536No documentation of an elder maltreatment screen, reason not given
- G8539Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment
Questions about G8509
What is HCPCS code G8509?
G8509 is a HCPCS Level II code for pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8509?
The CMS HCPCS file marks G8509 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.
Is G8509 still valid?
No. G8509 was terminated on December 31, 2020 and should not be used on new claims.