G9163 — Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9163 is a HCPCS Level II code for spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2019 and is not valid on new claims.
This code has been terminated
CMS terminated G9163 on December 31, 2019. 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 G9163
- Long descriptor
- Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
- Short descriptor
- Lang express goal status
- Added
- January 1, 2013
- Terminated
- December 31, 2019
- 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 G9163
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9163 is not quite right, the correct code is very often within a few positions of it.
- G9153Mapcp demonstration - physician incentive pool
- G9156Evaluation for wheelchair requiring face to face visit with physician
- G9157Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes
- G9158Motor speech functional limitation, discharge status, at discharge from therapy or to end reportingterminated
- G9159Spoken language comprehension functional limitation, current status at therapy episode outset and at reporting intervalsterminated
- G9160Spoken language comprehension functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reportingterminated
- G9161Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reportingterminated
- G9162Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervalsterminated
- G9164Spoken language expression functional limitation, discharge status at discharge from therapy or to end reportingterminated
- G9165Attention functional limitation, current status at therapy episode outset and at reporting intervalsterminated
- G9166Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reportingterminated
- G9167Attention functional limitation, discharge status at discharge from therapy or to end reportingterminated
- G9168Memory functional limitation, current status at therapy episode outset and at reporting intervalsterminated
- G9169Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reportingterminated
- G9170Memory functional limitation, discharge status at discharge from therapy or to end reportingterminated
- G9171Voice functional limitation, current status at therapy episode outset and at reporting intervalsterminated
Questions about G9163
What is HCPCS code G9163?
G9163 is a HCPCS Level II code for spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9163?
The CMS HCPCS file marks G9163 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 G9163 still valid?
No. G9163 was terminated on December 31, 2019 and should not be used on new claims.