G9946 – Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9946
- Long description
- Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively
- Short description
- Bk pain no vas
- 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, 2018
- Last change
- January 1, 2023 – No change
Frequently asked questions
What is HCPCS code G9946?
G9946 is a HCPCS Level II code for back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively.
Does Medicare cover G9946?
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
- G9938 – Patients aged 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period
- G9939 – Pathologists/dermatopathologists is the same clinician who performed the biopsy
- G9940 – Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fertilization, clomiphene rx, esrd, cirrhosis, muscular pain and disease during the measurement period or prior year)
- G9941 – Back pain was measured by the visual analog scale (vas) within three months preoperatively and at three months (6 - 20 weeks) postoperatively
- G9942 – Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy
- G9943 – Back pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively
- G9944 – Back pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively
- G9945 – Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis
- G9947 – Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at three months (6 to 20 weeks) postoperatively
- G9948 – Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminectomy
- G9949 – Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively
- G9954 – Patient exhibits 2 or more risk factors for post-operative vomiting
- G9955 – Cases in which an inhalational anesthetic is used only for induction
- G9956 – Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
- G9957 – Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)
- G9958 – Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.