G9639 — Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure
G9639 is a HCPCS Level II code for major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2021 and is not valid on new claims.
This code has been terminated
CMS terminated G9639 on December 31, 2021. 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 G9639
- Long descriptor
- Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure
- Short descriptor
- Amp no reqd in48h ieler proc
- Added
- January 1, 2016
- Terminated
- December 31, 2021
- 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 G9639
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9639 is not quite right, the correct code is very often within a few positions of it.
- G9631Patient sustained ureter injury at the time of surgery or discovered subsequently up to 30 days post-surgeryterminated
- G9632Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)terminated
- G9633Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgeryterminated
- G9634Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improvedterminated
- G9635Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)terminated
- G9636Health-related quality of life not assessed with tool during at least two visits or quality of life score declinedterminated
- G9637Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)
- G9638Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)
- G9640Documentation of planned hybrid or staged procedureterminated
- G9641Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedureterminated
- G9642Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)
- G9643Elective surgery
- G9644Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure
- G9645Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure
- G9646Patients with 90 day mrs score of 0 to 2
- G9647Patients in whom mrs score could not be obtained at 90 day follow-upterminated
Questions about G9639
What is HCPCS code G9639?
G9639 is a HCPCS Level II code for major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9639?
The CMS HCPCS file marks G9639 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 G9639 still valid?
No. G9639 was terminated on December 31, 2021 and should not be used on new claims.