G0920 HCPCS code: Type, anatomic location, and activity all documented
G0920 is the HCPCS Level II code for type, anatomic location, and activity all documented. CMS terminated G0920 on 2014-12-31; do not bill it for later dates of service. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | M5D |
| Added | 2012-01-01 |
| Last action effective | 2015-01-01 |
| Terminated | 2014-12-31 |
What changed for G0920
- 2012-01-01: G0920 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G0920?
G0920 is the HCPCS Level II code for type, anatomic location, and activity all documented. Short descriptor: "Type loc act doc".
Does Medicare cover G0920?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related G09 codes
- G0908 — Most recent hemoglobin (hgb) level > 12.0 g/dl
- G0909 — Hemoglobin level measurement not documented, reason not given
- G0910 — Most recent hemoglobin level <= 12.0 g/dl
- G0913 — Improvement in visual function achieved within 90 days following cataract surgery
- G0914 — Patient care survey was not completed by patient
- G0915 — Improvement in visual function not achieved within 90 days following cataract surgery
- G0916 — Satisfaction with care achieved within 90 days following cataract surgery
- G0917 — Patient care survey was not completed by patient
- G0918 — Satisfaction with care not achieved within 90 days following cataract surgery
- G0919 — Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit
- G0921 — Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)
- G0922 — No documentation of disease type, anatomic location, and activity, reason not given
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Next steps
- Run a reimbursement report for a device billed under G0920
- Watch G0920 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0920
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.