G9708

G9708 — Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy

Q: What is HCPCS code G9708?

G9708 is a HCPCS Level II code for women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy. It sits in the Procedures and Professional Services (Temporary) section.

Q: Does Medicare cover G9708?

The CMS HCPCS file marks G9708 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.

Q: How is G9708 paid under the physician fee schedule?

G9708 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.

HCPCSActiveBETOS Z2

G9708 is a HCPCS Level II code for women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy. 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 G9708

Long descriptor: Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
Short descriptor: Bilat mast/hx bi /unilat mas
Added: January 1, 2017
BETOS: Z2
Pricing indicator: 00 — Not priced by Part B

Codes adjacent to G9708

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9708 is not quite right, the correct code is very often within a few positions of it.

G9700Patients who use hospice services any time during the measurement period
G9701Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was establishedterminated
G9702Patients who use hospice services any time during the measurement period
G9703Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date
G9704Ajcc breast cancer stage i: t1 mic or t1a documented
G9705Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented
G9706Low (or very low) risk of recurrence, prostate cancer
G9707Patient received hospice services any time during the measurement periodterminated
G9709Hospice services used by patient any time during the measurement period
G9710Patient was provided hospice services any time during the measurement period
G9711Patients with a diagnosis or past history of total colectomy or colorectal cancer
G9712Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis
G9713Patients who use hospice services any time during the measurement period
G9714Patient is using hospice services any time during the measurement period
G9715Patients who use hospice services any time during the measurement periodterminated
G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason

Questions about G9708

What is HCPCS code G9708?

G9708 is a HCPCS Level II code for women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy. It sits in the Procedures and Professional Services (Temporary) section.

Does Medicare cover G9708?

The CMS HCPCS file marks G9708 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 G9708 paid under the physician fee schedule?

G9708 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.