HCPCS Code G8726

Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
Code effective Jan 01, 2017

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8726 is a valid 2026 HCPCS code meaning Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons) or (Doc reas no lipid profile) for short. HCPCS G8726 has been effective since 01/01/2017 and applies to Medical care.


HCPCS Code Details - G8726

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G8726
Description

Long description:
Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)

Short description:
Doc reas no lipid profile

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M5B - Specialist - psychiatry
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2017
Date added Added Jan 01, 2012
Termination date Dec 31, 2016

See also

  • HCPCS G8725 · Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)

  • HCPCS G8728 · Fasting lipid profile not performed, reason not given

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


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 7/13/2026

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