G9452 — Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy
G9452 is a HCPCS Level II code for documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy. 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 G9452
- Long descriptor
- Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy
- Short descriptor
- Doc med reas no hcv test
- Added
- January 1, 2015
- 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.
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 G9452
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9452 is not quite right, the correct code is very often within a few positions of it.
- G9440P2y inhibitor not prescribed at dischargeterminated
- G9441Statin prescribed at dischargeterminated
- G9442Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)terminated
- G9443Statin not prescribed at dischargeterminated
- G9448Patients who were born in the years 1945 to 1965terminated
- G9449History of receiving blood transfusions prior to 1992terminated
- G9450History of injection drug useterminated
- G9451Patient received one-time screening for hcv infectionterminated
- G9453Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)terminated
- G9454One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not giventerminated
- G9455Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc
- G9456Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)
- G9457Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period
- G9458Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco userterminated
- G9459Currently a tobacco non-userterminated
- G9460Tobacco assessment or tobacco cessation intervention not performed, reason not giventerminated
Questions about G9452
What is HCPCS code G9452?
G9452 is a HCPCS Level II code for documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9452?
The CMS HCPCS file marks G9452 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 G9452 paid under the physician fee schedule?
G9452 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.