G9597 – Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9597
- Long description
- Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules
- Short description
- No low pecarn ped head traum
- 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 G9597?
G9597 is a HCPCS Level II code for pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules.
Does Medicare cover G9597?
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
- G9582 – Door to puncture time of greater than 90 minutes, no reason given
- G9583 – Patients prescribed opiates for longer than six weeks
- G9584 – Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy
- G9585 – Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy
- G9593 – Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules
- G9594 – Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider
- G9595 – Patient has documentation of ventricular shunt, brain tumor, or coagulopathy
- G9596 – Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma
- G9598 – Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct
- G9599 – Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct
- G9600 – Symptomatic aaas that required urgent/emergent (non-elective) repair
- G9601 – Patient discharge to home no later than post-operative day #7
- G9602 – Patient not discharged to home by post-operative day #7
- G9603 – Patient survey score improved from baseline following treatment
- G9604 – Patient survey results not available
- G9605 – Patient survey score did not improve from baseline following treatment
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.