G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
Short descriptor: Dil macula/fundus exam/w doc
Look up G8397 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
G8397 is the HCPCS Level II code for Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Not separately priced by Part B (indicator 00)
- Type of Service
- Medical care
- Effective Date
- 2008-01-01
- 2026 Maintenance
- No change this year
References
Cite This Page
Reference G8397 with the canonical source and edition:
G8397 — Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G8397
Canonical URL: https://icd10codingpro.com/hcpcs-codes/G8397