G9561 Patients prescribed opiates for longer than six weeks

Short descriptor: Presc opiates >6 wks

⚠ Terminated HCPCS Level II 2026
Terminated Code
G9561 was terminated as of 2021-12-31 and should not be reported for dates of service after that date. This page is retained for historical reference.
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G9561 is the HCPCS Level II code for Patients prescribed opiates for longer than six weeks (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
2022-01-01
Termination Date
2021-12-31
2026 Maintenance
No change this year

References

Cite This Page

Reference G9561 with the canonical source and edition:

G9561 — Patients prescribed opiates for longer than six weeks. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G9561

Canonical URL: https://icd10codingpro.com/hcpcs-codes/G9561

Related Codes in Section G

← G9560 No beta-lactam abx ther, rng G9562 → Foll-up eval q3mo opiod tx
G9557 Ct/cta/mri/a no thyr <1.0cm G9558 Tx beta-lactam abx therapy G9559 Doc med reas no abx therapy G9560 No beta-lactam abx ther, rng G9562 Foll-up eval q3mo opiod tx G9563 No f/u eval q3mo opiod tx G9572 Phq-scr >9 doc in 12m time G9573 Adl pt md or dys rem 6 mon G9574 Adl pt md dys no rem 6 mon G9577 Presc opiates >6 wks
Browse all HCPCS Level II sections →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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