G9818 — Documentation of sexual activity
G9818 is a HCPCS Level II code for documentation of sexual activity. 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 G9818
- Long descriptor
- Documentation of sexual activity
- Short descriptor
- Doc sex activity
- 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 G9818
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9818 is not quite right, the correct code is very often within a few positions of it.
- 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
- 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
- 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
- G9822Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)
- G9823Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
- G9824Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
- G9825Her-2/neu negative or undocumented/unknownterminated
- G9826Patient transferred to practice after initiation of chemotherapyterminated
Questions about G9818
What is HCPCS code G9818?
G9818 is a HCPCS Level II code for documentation of sexual activity. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9818?
The CMS HCPCS file marks G9818 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 G9818 paid under the physician fee schedule?
G9818 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.