G9516 – Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9516
- Long description
- Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery
- Short description
- Impr vis acuit w/in 90d
- 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
Z2Undefined codes- Added
- January 1, 2016
- Last change
- January 1, 2016 – No change
Frequently asked questions
What is HCPCS code G9516?
G9516 is a HCPCS Level II code for patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery.
Does Medicare cover G9516?
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
- G9508 – Documentation that the patient is not on a statin medication
- G9509 – Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
- G9510 – Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5
- G9511 – Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period
- G9512 – Individual had a pdc of 0.8 or greater
- G9513 – Individual did not have a pdc of 0.8 or greater
- G9514 – Patient required a return to the operating room within 90 days of surgery
- G9515 – Patient did not require a return to the operating room within 90 days of surgery
- G9517 – Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given
- G9518 – Documentation of active injection drug use
- G9519 – Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
- G9520 – Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
- G9521 – Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months
- G9522 – Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given
- G9523 – Patient discontinued from hemodialysis or peritoneal dialysis
- G9524 – Patient was referred to hospice care
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.