HCPCS Code G9675

Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl
Code effective Jan 01, 2016

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9675 is a valid 2026 HCPCS code meaning Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl or (Pt w/fast/dir lab ldl-c >190) for short. HCPCS G9675 has been effective since 01/01/2016 and applies to Medical care.

HCPCS Code Details - G9675

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9675
Description

Long description:
Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl

Short description:
Pt w/fast/dir lab ldl-c >190

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 Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2016
Date added Added Jan 01, 2016

See also

  • HCPCS G9674 · Patients with clinical ascvd diagnosis

  • HCPCS G8860 · Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days

  • HCPCS G9469 · Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills

  • HCPCS G9774 · Patients who have had a hysterectomy

  • HCPCS G9778 · Patients who have a diagnosis of pregnancy at any time during the measurement period

  • HCPCS G9780 · Patients who have a diagnosis of rhabdomyolysis at any time during the performance period

  • HCPCS M1186 · Patients who have an order for or are receiving hospice or palliative care

  • HCPCS M1255 · Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)

  • HCPCS M1408 · Patients who have germline brca testing completed before diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer

  • HCPCS M1428 · Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period

  • HCPCS G9676 · Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period

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

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