G9606 — Intraoperative cystoscopy performed to evaluate for lower tract injury
G9606 is a HCPCS Level II code for intraoperative cystoscopy performed to evaluate for lower tract injury. 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 G9606
- Long descriptor
- Intraoperative cystoscopy performed to evaluate for lower tract injury
- Short descriptor
- Intraop cyst eval trac inj
- 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 G9606
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9606 is not quite right, the correct code is very often within a few positions of it.
- G9598Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct
- G9599Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct
- G9600Symptomatic aaas that required urgent/emergent (non-elective) repairterminated
- G9601Patient discharge to home no later than post-operative day #7terminated
- G9602Patient not discharged to home by post-operative day #7terminated
- G9603Patient survey score improved from baseline following treatment
- G9604Patient survey results not availableterminated
- G9605Patient survey score did not improve from baseline following treatment
- G9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death
- G9608Intraoperative cystoscopy not performed to evaluate for lower tract injury
- G9609Documentation of an order for anti-platelet agents
- G9610Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents
- G9611Order for anti-platelet agents was not documented in the patient's record, reason not given
- G9612Photodocumentation of two or more cecal landmarks to establish a complete examinationterminated
- G9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)terminated
- G9614Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examinationterminated
Questions about G9606
What is HCPCS code G9606?
G9606 is a HCPCS Level II code for intraoperative cystoscopy performed to evaluate for lower tract injury. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9606?
The CMS HCPCS file marks G9606 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 G9606 paid under the physician fee schedule?
G9606 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.