G9757 – Surgical procedures that included the use of silicone oil
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9757
- Long description
- Surgical procedures that included the use of silicone oil
- Short description
- Surg proc w/silicone oil
- 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, 2017
- Last change
- January 1, 2017 – No change
Frequently asked questions
What is HCPCS code G9757?
G9757 is a HCPCS Level II code for surgical procedures that included the use of silicone oil.
Does Medicare cover G9757?
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.
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.