G9356 — Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)
G9356 is a HCPCS Level II code for elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation). 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
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The CMS record for G9356
- Long descriptor
- Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)
- Short descriptor
- Early ind/delivery
- 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 G9356
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9356 is not quite right, the correct code is very often within a few positions of it.
- G9348Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasonsterminated
- G9349Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosisterminated
- G9350Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosisterminated
- G9351More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis
- G9352More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given
- G9353More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)
- G9354One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis
- G9355Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)
- G9357Post-partum screenings, evaluations and education performed
- G9358Post-partum screenings, evaluations and education not performed
- G9359Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifierterminated
- G9360No documentation of negative or managed positive tb screenterminated
- G9361Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)]
- G9362Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as documented in the anesthesia recordterminated
- G9363Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia less than 60 minutes, as documented in the anesthesia recordterminated
- G9364Sinusitis caused by, or presumed to be caused by, bacterial infection
Questions about G9356
What is HCPCS code G9356?
G9356 is a HCPCS Level II code for elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation). It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9356?
The CMS HCPCS file marks G9356 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 G9356 paid under the physician fee schedule?
G9356 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.