G8956 — Patient receiving maintenance hemodialysis in an outpatient dialysis facility
G8956 is a HCPCS Level II code for patient receiving maintenance hemodialysis in an outpatient dialysis facility. 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 G8956
- Long descriptor
- Patient receiving maintenance hemodialysis in an outpatient dialysis facility
- Short descriptor
- Pt rcv hedia outpt dyls fac
- 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 G8956
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8956 is not quite right, the correct code is very often within a few positions of it.
- 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
- G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
- 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
- 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
- G8962Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery
- G8963Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 yearsterminated
- G8964Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)terminated
Questions about G8956
What is HCPCS code G8956?
G8956 is a HCPCS Level II code for patient receiving maintenance hemodialysis in an outpatient dialysis facility. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8956?
The CMS HCPCS file marks G8956 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 G8956 paid under the physician fee schedule?
G8956 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.