Temporary G codes are assigned to services and procedures that are under review before being included in the CPT coding system. Payment for these services is under the jurisdiction of the local carriers.

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• G8916

  Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time

• G8917

  Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time

• G8918

  Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis

• G8923

  Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function

• G8924

  Spirometry results documented (fev1/fvc < 70%)

• G8925

  Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms

• G8926

  Spirometry test not performed or documented, reason not given

• G8927

  Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer

• G8928

  Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)

• G8929

  Adjuvant chemotherapy not prescribed or previously received, reason not given

• G8930

  Assessment of depression severity at the initial evaluation

• G8931

  Assessment of depression severity not documented, reason not given

• G8932

  Suicide risk assessed at the initial evaluation

• G8933

  Suicide risk not assessed at the initial evaluation, reason not given

• G8934

  Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function

• G8935

  Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy

• G8936

  Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)

• G8937

  Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given

• G8938

  Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible

• G8939

  Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter

• G8940

  Screening for depression documented as positive, a follow-up plan not completed, documented reason

• G8941

  Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter

• G8942

  Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment

• G8943

  Ldl-c result not present or not within 12 months prior

• G8944

  Ajcc melanoma cancer stage 0 through iic melanoma

• G8946

  Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)

• G8947

  One or more neuropsychiatric symptoms

• G8948

  No neuropsychiatric symptoms

• G8949

  Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)

• G8950

  Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented

• G8951

  Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible

• G8952

  Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given

• G8953

  All quality actions for the applicable measures in the oncology measures group have been performed for this patient

• G8955

  Most recent assessment of adequacy of volume management documented

• G8956

  Patient receiving maintenance hemodialysis in an outpatient dialysis facility

• G8957

  Patient not receiving maintenance hemodialysis in an outpatient dialysis facility

• G8958

  Assessment of adequacy of volume management not documented, reason not given

• G8959

  Clinician treating major depressive disorder communicates to clinician treating comorbid condition

• G8960

  Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given

• G8961

  Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery

• G8962

  Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery

• G8963

  Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years

• G8964

  Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)

• G8965

  Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment

• G8966

  Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment

• G8967

  Fda approved oral anticoagulant is prescribed

• G8968

  Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)

• G8969

  Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)

• G8970

  No risk factors or one moderate risk factor for thromboembolism

• G8971

  Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 7/25/2026

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