G9997 Doc pt preg dur msrmt pd

Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter

Medicare pricing for G9997

Physician Fee Schedule (CY 2026, RVU26D)

Status M: measurement code, reporting only.

Payer policies and prior authorization for G9997

Medicaid fee-for-service

  • IN: $51.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2023
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.