G9626 — Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)
G9626 is a HCPCS Level II code for documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury). 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 G9626
- Long descriptor
- Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)
- Short descriptor
- Med rsn no rpt bladder inj
- Added
- January 1, 2016
- 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 G9626
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9626 is not quite right, the correct code is very often within a few positions of it.
- G9618Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kindterminated
- G9619Documentation of reason(s) for not screening for uterine malignancy (e.g., prior hysterectomy)terminated
- G9620Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not giventerminated
- G9621Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling
- G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method
- G9623Documentation of medical reason(s) for not screening for unhealthy alcohol use (e.g., limited life expectancy, other medical reasons)terminated
- G9624Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user
- G9625Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery
- G9627Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
- G9628Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery
- G9629Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)
- G9630Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
- G9631Patient sustained ureter injury at the time of surgery or discovered subsequently up to 30 days post-surgeryterminated
- G9632Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)terminated
- G9633Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgeryterminated
- G9634Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improvedterminated
Questions about G9626
What is HCPCS code G9626?
G9626 is a HCPCS Level II code for documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury). It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9626?
The CMS HCPCS file marks G9626 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 G9626 paid under the physician fee schedule?
G9626 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.