G9965 — Patient did not receive at least one well-child visit with a pcp during the performance period
G9965 is a HCPCS Level II code for patient did not receive at least one well-child visit with a pcp during the performance 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 G9965
- Long descriptor
- Patient did not receive at least one well-child visit with a pcp during the performance period
- Short descriptor
- No well-chld vist recv by pt
- Added
- January 1, 2018
- 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 G9965
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9965 is not quite right, the correct code is very often within a few positions of it.
- G9957Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)
- G9958Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
- G9959Systemic antimicrobials not prescribed
- G9960Documentation of medical reason(s) for prescribing systemic antimicrobials
- G9961Systemic antimicrobials prescribed
- G9962Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy
- G9963Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy
- G9964Patient received at least one well-child visit with a pcp during the performance period
- G9966Children who were screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and reportterminated
- G9967Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and reportterminated
- G9968Patient was referred to another clinician or specialist during the measurement period
- G9969Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred
- G9970Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred
- G9974Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severityterminated
- G9975Documentation of medical reason(s) for not performing a dilated macular examinationterminated
- G9978Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
Questions about G9965
What is HCPCS code G9965?
G9965 is a HCPCS Level II code for patient did not receive at least one well-child visit with a pcp during the performance period. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9965?
The CMS HCPCS file marks G9965 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 G9965 paid under the physician fee schedule?
G9965 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.