HCPCS Code G9313

Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason
Code effective Jan 01, 2018

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9313 is a valid 2026 HCPCS code meaning Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason or (Amoxic not presc as 1st line) for short. HCPCS G9313 has been effective since 01/01/2018 and applies to Medical care.


HCPCS Code Details - G9313

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9313
Description

Long description:
Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason

Short description:
Amoxic not presc as 1st line

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, 2018
Date added Added Jan 01, 2014

See also

  • HCPCS G9312 · Surgical site infection

  • HCPCS G9314 · Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given

  • HCPCS G9315 · Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis

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

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.