G9305 — Intervention for presence of leak of endoluminal contents through an anastomosis not required
G9305 is a HCPCS Level II code for intervention for presence of leak of endoluminal contents through an anastomosis not required. 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 G9305
- Long descriptor
- Intervention for presence of leak of endoluminal contents through an anastomosis not required
- Short descriptor
- No interv req for leak
- 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 G9305
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9305 is not quite right, the correct code is very often within a few positions of it.
- G9297Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given
- G9298Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)
- G9299Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)
- G9300Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used)terminated
- G9301Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquetterminated
- G9302Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not giventerminated
- G9303Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant, reason not giventerminated
- G9304Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implantterminated
- G9306Intervention for presence of leak of endoluminal contents through an anastomosis required
- G9307No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
- G9308Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
- G9309No unplanned hospital readmission within 30 days of principal procedure
- G9310Unplanned hospital readmission within 30 days of principal procedure
- G9311No surgical site infection
- G9312Surgical site infection
- G9313Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason
Questions about G9305
What is HCPCS code G9305?
G9305 is a HCPCS Level II code for intervention for presence of leak of endoluminal contents through an anastomosis not required. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9305?
The CMS HCPCS file marks G9305 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 G9305 paid under the physician fee schedule?
G9305 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.