HCPCS Code G9797

Patient is not on a high intensity statin therapy
Code effective Jan 01, 2026

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9797 is a valid 2026 HCPCS code meaning Patient is not on a high intensity statin therapy or (Pt not currently on statin) for short. HCPCS G9797 has been effective since 01/01/2026 and applies to Medical care.

HCPCS Code Details - G9797
HCPCS Level II Code Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code	`G9797`
Description	Long description: Patient is not on a high intensity statin therapy Short description: Pt not currently on statin
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, 2026
Date added	Added Jan 01, 2017

HCPCS G9796 · Patient is currently on a high intensity statin therapy
HCPCS G8561 · Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure
HCPCS G8566 · Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure
HCPCS G8857 · Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)
HCPCS G9719 · Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair
HCPCS G9795 · Patient is not currently on a daily aspirin or other antiplatelet
HCPCS M1208 · Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety
HCPCS G9798 · Discharge(s) for ami between july 1 of the year prior measurement period to june 30 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

HCPCS Code G9797

HCPCS Code Details - G9797

See also

HCPCS G9796 · Patient is currently on a high intensity statin therapy

HCPCS G8561 · Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure

HCPCS G8566 · Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure

HCPCS G8857 · Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)

HCPCS G9719 · Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

HCPCS G9795 · Patient is not currently on a daily aspirin or other antiplatelet

HCPCS M1208 · Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety

HCPCS G9798 · Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement period