G9964 – Patient received at least one well-child visit with a pcp during the performance period
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9964
- Long description
- Patient received at least one well-child visit with a pcp during the performance period
- Short description
- Pt recv >=1 well-chld visit
- 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, 2018 – No change
Frequently asked questions
What is HCPCS code G9964?
G9964 is a HCPCS Level II code for patient received at least one well-child visit with a pcp during the performance period.
Does Medicare cover G9964?
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
- 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
- G9959 – Systemic antimicrobials not prescribed
- G9960 – Documentation of medical reason(s) for prescribing systemic antimicrobials
- G9961 – Systemic antimicrobials prescribed
- G9962 – Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy
- G9963 – Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy
- G9965 – Patient did not receive at least one well-child visit with a pcp during the performance period
- G9966 – Children who were screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report
- G9967 – Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report
- G9968 – Patient was referred to another clinician or specialist during the measurement period
- G9969 – Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred
- G9970 – Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred
- G9974 – Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity
- G9975 – Documentation of medical reason(s) for not performing a dilated macular examination
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.