G9813 — Patient did not die within 30 days of the procedure or during the index hospitalization
G9813 is a HCPCS Level II code for patient did not die within 30 days of the procedure or during the index hospitalization. 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 G9813
- Long descriptor
- Patient did not die within 30 days of the procedure or during the index hospitalization
- Short descriptor
- Pt not died w/in 30d of proc
- 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 G9813
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9813 is not quite right, the correct code is very often within a few positions of it.
- G9805Patients who use hospice services any time during the measurement period
- 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
- G9814Death occurring during the index acute care hospitalizationterminated
- G9815Death did not occur during the index acute care hospitalizationterminated
- G9816Death occurring after discharge from the hospital but within 30 days post procedureterminated
- G9817Death did not occur after discharge from the hospital within 30 days post procedureterminated
- G9818Documentation of sexual activity
- G9819Patients who use hospice services any time during the measurement period
- G9820Documentation of a chlamydia screening test with proper follow-up
- G9821No documentation of a chlamydia screening test with proper follow-up
Questions about G9813
What is HCPCS code G9813?
G9813 is a HCPCS Level II code for patient did not die within 30 days of the procedure or during the index hospitalization. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9813?
The CMS HCPCS file marks G9813 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 G9813 paid under the physician fee schedule?
G9813 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.