G9456 — Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)
G9456 is a HCPCS Level II code for documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment). 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 G9456
- Long descriptor
- Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)
- Short descriptor
- Doc med pt reas no hcc scrn
- Added
- January 1, 2015
- 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 G9456
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9456 is not quite right, the correct code is very often within a few positions of it.
- G9448Patients who were born in the years 1945 to 1965terminated
- G9449History of receiving blood transfusions prior to 1992terminated
- G9450History of injection drug useterminated
- G9451Patient received one-time screening for hcv infectionterminated
- G9452Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy
- G9453Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)terminated
- G9454One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not giventerminated
- G9455Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc
- G9457Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period
- G9458Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco userterminated
- G9459Currently a tobacco non-userterminated
- G9460Tobacco assessment or tobacco cessation intervention not performed, reason not giventerminated
- G9463I intend to report the sinusitis measures groupterminated
- G9464All quality actions for the applicable measures in the sinusitis measures group have been performed for this patientterminated
- G9465I intend to report the acute otitis externa (aoe) measures groupterminated
- G9466All quality actions for the applicable measures in the aoe measures group have been performed for this patientterminated
Questions about G9456
What is HCPCS code G9456?
G9456 is a HCPCS Level II code for documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment). It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9456?
The CMS HCPCS file marks G9456 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 G9456 paid under the physician fee schedule?
G9456 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.