G9381 — Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period
G9381 is a HCPCS Level II code for documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2017 and is not valid on new claims.
This code has been terminated
CMS terminated G9381 on December 31, 2017. 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 G9381
- Long descriptor
- Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period
- Short descriptor
- Doc med reas no offer eol
- Added
- January 1, 2015
- Terminated
- December 31, 2017
- BETOS
- Z2
- 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 G9381
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9381 is not quite right, the correct code is very often within a few positions of it.
- G9368At least two orders for high-risk medications from the same drug class not ordered
- G9369Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greaterterminated
- G9370Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greaterterminated
- G9376Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgeryterminated
- G9377Patient did not have the retina attached after 6 months following only one surgeryterminated
- G9378Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)terminated
- G9379Patient did not achieve flat retinas six months post surgeryterminated
- G9380Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period
- G9382Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period
- G9383Patient received screening for hcv infection within the 12 month reporting period
- G9384Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)
- G9385Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons)
- G9386Screening for hcv infection not received within the 12 month reporting period, reason not given
- G9389Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgeryterminated
- G9390No unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgeryterminated
- G9391Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visitterminated
Questions about G9381
What is HCPCS code G9381?
G9381 is a HCPCS Level II code for documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9381?
The CMS HCPCS file marks G9381 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 G9381 still valid?
No. G9381 was terminated on December 31, 2017 and should not be used on new claims.