G9967 — Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report
G9967 is a HCPCS Level II code for children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2020 and is not valid on new claims.
This code has been terminated
CMS terminated G9967 on December 31, 2020. 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 G9967
- Long descriptor
- Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report
- Short descriptor
- No scrn, inter, reprt child
- Added
- January 1, 2018
- Terminated
- December 31, 2020
- 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 G9967
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9967 is not quite right, the correct code is very often within a few positions of it.
- G9959Systemic antimicrobials not prescribed
- G9960Documentation of medical reason(s) for prescribing systemic antimicrobials
- G9961Systemic antimicrobials prescribed
- G9962Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy
- G9963Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy
- G9964Patient received at least one well-child visit with a pcp during the performance period
- G9965Patient did not receive at least one well-child visit with a pcp during the performance period
- G9966Children who were screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and reportterminated
- G9968Patient was referred to another clinician or specialist during the measurement period
- G9969Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred
- G9970Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred
- G9974Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severityterminated
- G9975Documentation of medical reason(s) for not performing a dilated macular examinationterminated
- G9978Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9979Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
- G9980Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
Questions about G9967
What is HCPCS code G9967?
G9967 is a HCPCS Level II code for children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9967?
The CMS HCPCS file marks G9967 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 G9967 still valid?
No. G9967 was terminated on December 31, 2020 and should not be used on new claims.