G9316 – Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9316
- Long description
- Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family
- Short description
- Doc comm risk calc
- 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, 2014
- Last change
- January 1, 2014 – No change
Frequently asked questions
What is HCPCS code G9316?
G9316 is a HCPCS Level II code for documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family.
Does Medicare cover G9316?
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
- G9308 – Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
- G9309 – No unplanned hospital readmission within 30 days of principal procedure
- G9310 – Unplanned hospital readmission within 30 days of principal procedure
- G9311 – No surgical site infection
- G9312 – Surgical site infection
- G9313 – Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason
- G9314 – Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given
- G9315 – Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis
- G9317 – Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed
- G9318 – Imaging study named according to standardized nomenclature
- G9319 – Imaging study not named according to standardized nomenclature, reason not given
- G9320 – Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
- G9321 – Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study
- G9322 – Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given
- G9323 – Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
- G9324 – All necessary data elements not included, reason not given
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.