G9248 — Patient did not have a medical visit in the last 6 months
G9248 is a HCPCS Level II code for patient did not have a medical visit in the last 6 months. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2014 and is not valid on new claims.
This code has been terminated
CMS terminated G9248 on December 31, 2014. 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 G9248
- Long descriptor
- Patient did not have a medical visit in the last 6 months
- Short descriptor
- No med visit 6mo
- Added
- January 1, 2014
- Terminated
- December 31, 2014
- 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.
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 G9248
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9248 is not quite right, the correct code is very often within a few positions of it.
- G9240Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiatedterminated
- G9241Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiatedterminated
- G9242Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed
- G9243Documentation of viral load less than 200 copies/ml
- G9244Antiretroviral thereapy not prescribedterminated
- G9245Antiretroviral therapy prescribedterminated
- G9246Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
- G9247Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
- G9249Patient had a medical visit in the last 6 monthsterminated
- G9250Documentation of patient pain brought to a comfortable level within 48 hours from initial assessmentterminated
- G9251Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessmentterminated
- G9252Adenoma(s) or other neoplasm detected during screening colonoscopyterminated
- G9253Adenoma(s) or other neoplasm not detected during screening colonoscopyterminated
- G9254Documentation of patient discharged to home later than post-operative day 2 following cea or cas
- G9255Documentation of patient discharged to home no later than post operative day 2 following cea or cas
- G9256Documentation of patient death following casterminated
Questions about G9248
What is HCPCS code G9248?
G9248 is a HCPCS Level II code for patient did not have a medical visit in the last 6 months. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9248?
The CMS HCPCS file marks G9248 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 G9248 still valid?
No. G9248 was terminated on December 31, 2014 and should not be used on new claims.