G9755 — Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection)
G9755 is a HCPCS Level II code for documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection). 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 G9755
- Long descriptor
- Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection)
- Short descriptor
- Doc med rsn no fllw up
- Added
- January 1, 2017
- 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 G9755
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9755 is not quite right, the correct code is very often within a few positions of it.
- G9747Patient is undergoing palliative dialysis with a catheterterminated
- G9748Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplantterminated
- G9749Patient is undergoing palliative dialysis with a catheterterminated
- G9750Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplantterminated
- G9751Patient died at any time during the 24-month measurement periodterminated
- G9752Emergency surgery
- G9753Documentation of medical reason for not conducting a search for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., trauma, acute myocardial infarction, stroke, aortic aneurysm where time is of the essence)
- G9754A finding of an incidental pulmonary nodule
- G9756Surgical procedures that included the use of silicone oil
- G9757Surgical procedures that included the use of silicone oil
- G9758Patient in hospice at any time during the measurement period
- G9759History of preoperative posterior capsule ruptureterminated
- G9760Patients who use hospice services any time during the measurement periodterminated
- G9761Patients who use hospice services any time during the measurement period
- G9762Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays
- G9763Patient did not have at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays
Questions about G9755
What is HCPCS code G9755?
G9755 is a HCPCS Level II code for documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection). It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9755?
The CMS HCPCS file marks G9755 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 G9755 paid under the physician fee schedule?
G9755 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.