Summary & Overview
HCPCS G9787: Patient Alive as of Measurement Year End
HCPCS Level II code G9787 documents that a patient was alive on the last day of the measurement year. As a status/quality-reporting code, it is used in administrative and quality measurement workflows to confirm survival status at year-end, which can affect cohort denominators and performance calculations for population health programs and pay-for-performance measures. Nationally, consistent use of this code supports accurate reporting across providers and payers for quality programs and may influence quality measure denominators.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an explanation of the code's purpose and clinical context, the typical service type and sites where the code is applied, and an overview of reporting implications for quality measurement. The publication also summarizes common modifiers and administrative considerations when present, and highlights areas where data was not available in the input.
This summary presents the code's role in administrative reporting and quality measurement at a national level, helping billing managers, quality leads, and health plan administrators understand where G9787 fits within year-end reporting and population health workflows.
Billing Code Overview
HCPCS Level II code G9787 indicates Patient alive as of the last day of the measurement year. This code is a status/quality-measure reporting code used to document that a patient was alive at the end of the measurement period.
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Service type: Administrative/status reporting
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Typical site of service: Non-procedural/administrative settings such as outpatient clinics, care management programs, quality reporting systems, or health plan reporting mechanisms
Data not available in the input for modifiers, associated taxonomies, ICD-10 diagnoses, related codes, and service line.
Clinical & Coding Specifications
Clinical Context
Patient reported as alive as of the last day of the measurement year is an administrative status code used in population health, quality measurement, and mortality tracking. Typical workflow: a health plan data analyst or practice quality coordinator runs an end-of-year registry query to confirm member vital status for denominator inclusion in performance measures (for example, mortality exclusions). The clinic’s records team reviews electronic health record (EHR) problem lists, recent visit notes, hospital discharge summaries, state death index matches, and contact attempts (phone, secure message) to confirm that the patient was alive on December 31 of the measurement year. When confirmed, the organization submits billing/encounter data or quality measure attestations using billing code G9787 to document that the patient was alive as of the last day of the measurement year. Typical sites of service include ambulatory primary care clinics, health plan administrative offices, and population health registries. A realistic patient scenario: a 78-year-old patient with multiple chronic conditions is active in a primary care panel; the practice verifies via telephone contact and review of recent medication refills that the patient is alive on 12/31 and records G9787 in the administrative claim or quality submission to support measure inclusion.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 |