G9607

G9607 — Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death

HCPCSActiveBETOS Z2

G9607 is a HCPCS Level II code for documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death. 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 G9607

Long descriptor: Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death
Short descriptor: Doc med rsn not perf cystosc
Added: January 1, 2016
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to G9607

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9607 is not quite right, the correct code is very often within a few positions of it.

G9599Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct
G9600Symptomatic aaas that required urgent/emergent (non-elective) repairterminated
G9601Patient discharge to home no later than post-operative day #7terminated
G9602Patient not discharged to home by post-operative day #7terminated
G9603Patient survey score improved from baseline following treatment
G9604Patient survey results not availableterminated
G9605Patient survey score did not improve from baseline following treatment
G9606Intraoperative cystoscopy performed to evaluate for lower tract injury
G9608Intraoperative cystoscopy not performed to evaluate for lower tract injury
G9609Documentation of an order for anti-platelet agents
G9610Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents
G9611Order for anti-platelet agents was not documented in the patient's record, reason not given
G9612Photodocumentation of two or more cecal landmarks to establish a complete examinationterminated
G9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)terminated
G9614Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examinationterminated
G9615Preoperative assessment documentedterminated

Questions about G9607

What is HCPCS code G9607?

G9607 is a HCPCS Level II code for documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death. It sits in the Procedures and Professional Services (Temporary) section.

Does Medicare cover G9607?

The CMS HCPCS file marks G9607 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 G9607 paid under the physician fee schedule?

G9607 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.