G9805 — Patients who use hospice services any time during the measurement period
G9805 is a HCPCS Level II code for patients who use hospice services any time during the measurement period. 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 G9805
- Long descriptor
- Patients who use hospice services any time during the measurement period
- Short descriptor
- Pt w/hosp anytime msmt per
- 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 G9805
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9805 is not quite right, the correct code is very often within a few positions of it.
- G9797Patient is not on a high intensity statin therapy
- G9798Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement periodterminated
- G9799Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure periodterminated
- G9800Patients who are identified as having an intolerance or allergy to beta-blocker therapyterminated
- G9801Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosisterminated
- G9802Patients who use hospice services any time during the measurement periodterminated
- G9803Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for amiterminated
- G9804Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for amiterminated
- G9806Patients who received cervical cytology or an hpv test
- G9807Patients who did not receive cervical cytology or an hpv test
- G9808Any patients who had no asthma controller medications dispensed during the measurement yearterminated
- G9809Patients who use hospice services any time during the measurement periodterminated
- G9810Patient achieved a pdc of at least 75% for their asthma controller medicationterminated
- G9811Patient did not achieve a pdc of at least 75% for their asthma controller medicationterminated
- G9812Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure
- G9813Patient did not die within 30 days of the procedure or during the index hospitalization
Questions about G9805
What is HCPCS code G9805?
G9805 is a HCPCS Level II code for patients who use hospice services any time during the measurement period. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9805?
The CMS HCPCS file marks G9805 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 G9805 paid under the physician fee schedule?
G9805 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.