G9886 HCPCS code: Behavioral counseling for diabetes prevention, in-person, group, 60 minutes
G9886 is the HCPCS Level II code for behavioral counseling for diabetes prevention, in-person, group, 60 minutes. In 2024 Medicare paid an average of $24.50 per service for G9886 across 7,452 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, about 75 clinicians billed Medicare for G9886 for 861 beneficiaries; Maryland, Illinois, South Carolina accounted for 39% of services.
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 | Y1 |
| Added | 2024-01-01 |
| Last action effective | 2024-01-01 |
Who bills G9886 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 75 |
| Medicare beneficiaries | 861 |
| States with claims | 20 |
| Share of services in top 3 states (Maryland, Illinois, South Carolina) | 39% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G9886, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 7,452 | 861 | $24.50 | $24.50 |
States with the most G9886 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Maryland | 1,257 | $24.50 |
| Illinois | 740 | $24.50 |
| South Carolina | 584 | $24.50 |
| Colorado | 442 | $24.50 |
| New Hampshire | 396 | $24.50 |
What changed for G9886
- 2024-01-01: G9886 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 G9886?
G9886 is the HCPCS Level II code for behavioral counseling for diabetes prevention, in-person, group, 60 minutes. Short descriptor: "In-person attendance g code".
How much does Medicare pay for G9886?
In 2024, the average Medicare payment was $24.50 per service (average allowed $24.50).
Does Medicare cover G9886?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related G98 codes
- G9800 — Patients who are identified as having an intolerance or allergy to beta-blocker therapy
- G9801 — Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis
- G9802 — Patients who use hospice services any time during the measurement period
- G9803 — Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
- G9804 — Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
- G9805 — Patients who use hospice services any time during the measurement period
- G9806 — Patients who received cervical cytology or an hpv test
- G9807 — Patients who did not receive cervical cytology or an hpv test
- G9808 — Any patients who had no asthma controller medications dispensed during the measurement year
- G9809 — Patients who use hospice services any time during the measurement period
- G9810 — Patient achieved a pdc of at least 75% for their asthma controller medication
- G9811 — Patient did not achieve a pdc of at least 75% for their asthma controller medication
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 G9886
- Watch G9886 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G9886
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.