G0916 — Satisfaction with care achieved within 90 days following cataract surgery
G0916 is a HCPCS Level II code for satisfaction with care achieved within 90 days following cataract surgery. 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 G0916
- Long descriptor
- Satisfaction with care achieved within 90 days following cataract surgery
- Short descriptor
- Satisfy with care
- Added
- January 1, 2012
- BETOS
- M5D
- 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 G0916
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0916 is not quite right, the correct code is very often within a few positions of it.
- G0683Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
- G0684Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
- G0908Most recent hemoglobin (hgb) level > 12.0 g/dlterminated
- G0909Hemoglobin level measurement not documented, reason not giventerminated
- G0910Most recent hemoglobin level <= 12.0 g/dlterminated
- G0913Improvement in visual function achieved within 90 days following cataract surgery
- G0914Patient care survey was not completed by patient
- G0915Improvement in visual function not achieved within 90 days following cataract surgery
- G0917Patient care survey was not completed by patient
- G0918Satisfaction with care not achieved within 90 days following cataract surgery
- G0919Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visitterminated
- G0920Type, anatomic location, and activity all documentedterminated
- G0921Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)terminated
- G0922No documentation of disease type, anatomic location, and activity, reason not giventerminated
- G1000Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria programterminated
- G1001Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria programterminated
Questions about G0916
What is HCPCS code G0916?
G0916 is a HCPCS Level II code for satisfaction with care achieved within 90 days following cataract surgery. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0916?
The CMS HCPCS file marks G0916 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 G0916 paid under the physician fee schedule?
G0916 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.