G9517 — Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given
G9517 is a HCPCS Level II code for patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given. 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 G9517
- Long descriptor
- Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given
- Short descriptor
- No impr vis acuit w/in 90d
- Added
- January 1, 2016
- 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 G9517
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9517 is not quite right, the correct code is very often within a few positions of it.
- G9509Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
- G9510Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5
- G9511Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period
- G9512Individual had a pdc of 0.8 or greater
- G9513Individual did not have a pdc of 0.8 or greater
- G9514Patient required a return to the operating room within 90 days of surgery
- G9515Patient did not require a return to the operating room within 90 days of surgery
- G9516Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery
- G9518Documentation of active injection drug use
- G9519Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
- G9520Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
- G9521Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months
- G9522Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given
- G9523Patient discontinued from hemodialysis or peritoneal dialysisterminated
- G9524Patient was referred to hospice careterminated
- G9525Documentation of patient reason(s) for not referring to hospice care (e.g., patient declined, other patient reasons)terminated
Questions about G9517
What is HCPCS code G9517?
G9517 is a HCPCS Level II code for patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9517?
The CMS HCPCS file marks G9517 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 G9517 paid under the physician fee schedule?
G9517 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.