G8911 HCPCS code: Patient documented not to have experienced a fall within ambulatory surgical center
G8911 is the HCPCS Level II code for patient documented not to have experienced a fall within ambulatory surgical center. 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 | M5B |
| Added | 2012-04-01 |
| Last action effective | 2012-04-01 |
What changed for G8911
- 2012-04-01: G8911 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 G8911?
G8911 is the HCPCS Level II code for patient documented not to have experienced a fall within ambulatory surgical center. Short descriptor: "Pt doc no fall in asc".
Does Medicare cover G8911?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related G89 codes
- G8900 — I intend to report the sleep apnea measures group
- G8902 — I intend to report the dementia measures group
- G8903 — I intend to report the parkinson's disease measures group
- G8904 — I intend to report the hypertension (htn) measures group
- G8905 — I intend to report the cardiovascular prevention measures group
- G8906 — I intend to report the cataract measures group
- G8907 — Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility
- G8908 — Patient documented to have received a burn prior to discharge
- G8909 — Patient documented not to have received a burn prior to discharge
- G8910 — Patient documented to have experienced a fall within asc
- G8912 — Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event
- G8913 — Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under G8911
- Watch G8911 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G8911
Sources: CMS HCPCS Level II release October 2025; 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.