G9691 — Patient had hospice services any time during the measurement period
G9691 is a HCPCS Level II code for patient had hospice services any time during the measurement period. 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
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The CMS record for G9691
- Long descriptor
- Patient had hospice services any time during the measurement period
- Short descriptor
- Pt hosp dur msmt period
- Added
- January 1, 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.
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 G9691
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9691 is not quite right, the correct code is very often within a few positions of it.
- G9683Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project
- G9684This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary
- G9685Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project
- G9686Onsite nursing facility conference, that is separate and distinct from an evaluation and management visit, including qualified practitioner and at least one member of the nursing facility interdisciplinary care teamterminated
- G9687Hospice services provided to patient any time during the measurement period
- G9688Patients using hospice services any time during the measurement period
- G9689Patient admitted for performance of elective carotid intervention
- G9690Patient receiving hospice services any time during the measurement period
- G9692Hospice services received by patient any time during the measurement period
- G9693Patient use of hospice services any time during the measurement period
- G9694Hospice services utilized by patient any time during the measurement period
- G9695Long-acting inhaled bronchodilator prescribed
- G9696Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
- G9697Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilatorterminated
- G9698Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)
- G9699Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified
Questions about G9691
What is HCPCS code G9691?
G9691 is a HCPCS Level II code for patient had hospice services any time during the measurement period. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9691?
The CMS HCPCS file marks G9691 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 G9691 paid under the physician fee schedule?
G9691 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.