G9757 — Surgical procedures that included the use of silicone oil
G9757 is a HCPCS Level II code for surgical procedures that included the use of silicone oil. 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 G9757
- Long descriptor
- Surgical procedures that included the use of silicone oil
- Short descriptor
- Surg proc w/silicone oil
- 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 G9757
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9757 is not quite right, the correct code is very often within a few positions of it.
- 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
- G9755Documentation 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)
- G9756Surgical 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
- G9764Patient has been treated with a systemic medication for psoriasis vulgaris
- G9765Documentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at least six consecutive months (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi
Questions about G9757
What is HCPCS code G9757?
G9757 is a HCPCS Level II code for surgical procedures that included the use of silicone oil. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9757?
The CMS HCPCS file marks G9757 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 G9757 paid under the physician fee schedule?
G9757 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.