G8709 – Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
- Long description
- Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)
- Short description
- Uri ep compete diag
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
M5BSpecialist - psychiatry- Added
- January 1, 2012
- Last change
- January 1, 2021 – No change
Frequently asked questions
What is HCPCS code G8709?
G8709 is a HCPCS Level II code for uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne).
Does Medicare cover G8709?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G8701 – Rehabilitation services were not ordered, reason not otherwise specified
- G8702 – Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively
- G8703 – Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively
- G8704 – 12-lead electrocardiogram (ecg) performed
- G8705 – Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg)
- G8706 – Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)
- G8707 – 12-lead electrocardiogram (ecg) not performed, reason not given
- G8708 – Patient not prescribed antibiotic
- G8710 – Patient prescribed antibiotic
- G8711 – Prescribed antibiotic on or within 3 days after the episode date
- G8712 – Antibiotic not prescribed or dispensed
- G8713 – Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])
- G8714 – Hemodialysis treatment performed exactly three times per week for > 90 days
- G8717 – Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given
- G8718 – Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])
- G8720 – Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.