G8952 — Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
G8952 is a HCPCS Level II code for elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given. 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 G8952
- Long descriptor
- Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
- Short descriptor
- Pre-htn/htn, no f/u, not gvn
- Added
- January 1, 2013
- BETOS
- M5B
- 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 G8952
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8952 is not quite right, the correct code is very often within a few positions of it.
- G8943Ldl-c result not present or not within 12 months priorterminated
- G8944Ajcc melanoma cancer stage 0 through iic melanoma
- G8946Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)
- G8947One or more neuropsychiatric symptomsterminated
- G8948No neuropsychiatric symptomsterminated
- G8949Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)terminated
- G8950Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
- G8951Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligibleterminated
- G8953All quality actions for the applicable measures in the oncology measures group have been performed for this patientterminated
- G8955Most recent assessment of adequacy of volume management documented
- G8956Patient receiving maintenance hemodialysis in an outpatient dialysis facility
- G8957Patient not receiving maintenance hemodialysis in an outpatient dialysis facilityterminated
- G8958Assessment of adequacy of volume management not documented, reason not given
- G8959Clinician treating major depressive disorder communicates to clinician treating comorbid conditionterminated
- G8960Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not giventerminated
- G8961Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery
Questions about G8952
What is HCPCS code G8952?
G8952 is a HCPCS Level II code for elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8952?
The CMS HCPCS file marks G8952 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 G8952 paid under the physician fee schedule?
G8952 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.