G9254 — Documentation of patient discharged to home later than post-operative day 2 following cea or cas
G9254 is a HCPCS Level II code for documentation of patient discharged to home later than post-operative day 2 following cea or cas. 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 G9254
- Long descriptor
- Documentation of patient discharged to home later than post-operative day 2 following cea or cas
- Short descriptor
- Doc pt dischg >2d
- Added
- January 1, 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.
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 G9254
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9254 is not quite right, the correct code is very often within a few positions of it.
- 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
- G9248Patient did not have a medical visit in the last 6 monthsterminated
- 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
- G9255Documentation of patient discharged to home no later than post operative day 2 following cea or cas
- G9256Documentation of patient death following casterminated
- G9257Documentation of patient stroke following casterminated
- G9258Documentation of patient stroke following ceaterminated
- G9259Documentation of patient survival and absence of stroke following casterminated
- G9260Documentation of patient death following ceaterminated
- G9261Documentation of patient survival and absence of stroke following ceaterminated
- G9262Documentation of patient death in the hospital following endovascular aaa repairterminated
Questions about G9254
What is HCPCS code G9254?
G9254 is a HCPCS Level II code for documentation of patient discharged to home later than post-operative day 2 following cea or cas. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9254?
The CMS HCPCS file marks G9254 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 G9254 paid under the physician fee schedule?
G9254 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.