G9213 — Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
G9213 is a HCPCS Level II code for dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified. 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 G9213
- Long descriptor
- Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
- Short descriptor
- No doc of dsm-iv
- Added
- January 1, 2014
- BETOS
- M5B
- 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 G9213
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9213 is not quite right, the correct code is very often within a few positions of it.
- G9205Patient starting antiviral treatmentfor hepatitis c during the measurement periodterminated
- G9206Patient starting antiviral treatment for hepatitis c during the measurement periodterminated
- G9207Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis cterminated
- G9208Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not giventerminated
- G9209Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatmentterminated
- G9210Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for documented reason(s) (e.g., patients whose treatment was discontinued during the testing period prior to testing, other medical reasons, patient declined, other patient reasons)terminated
- G9211Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not giventerminated
- G9212Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation
- G9214Cd4+ cell count or cd4+ cell percentage results documentedterminated
- G9215Cd4+ cell count or percentage not documented as performed, reason not giventerminated
- G9216Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not giventerminated
- G9217Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not giventerminated
- G9218Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not giventerminated
- G9219Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)terminated
- G9220Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)terminated
- G9221Pneumocystis jiroveci pneumonia prophlaxis prescribedterminated
Questions about G9213
What is HCPCS code G9213?
G9213 is a HCPCS Level II code for dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9213?
The CMS HCPCS file marks G9213 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 G9213 paid under the physician fee schedule?
G9213 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.