HCPCS Code G9197

Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
Code effective Jan 01, 2023

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9197 is a valid 2026 HCPCS code meaning Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis or (Order for ceph) for short. HCPCS G9197 has been effective since 01/01/2023 and applies to Medical care.

HCPCS Code Details - G9197

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9197
Description

Long description:
Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis

Short description:
Order for ceph

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, 2023
Date added Added Jan 01, 2014
Termination date Dec 31, 2022

See also

  • HCPCS G9196 · Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s))

  • HCPCS G8629 · Documentation of order for prophylactic parenteral antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)

  • HCPCS G9198 · Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, 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 6/23/2026

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