HCPCS Code Details - G9469

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9469
Description

Long description:
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

Short description:
Rec cortico>90d or 1rx 900mg

HCPCS Modifier1
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, 2020
Date added Added Jan 01, 2015
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G9468 · Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills

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

  • HCPCS G9675 · Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl

  • HCPCS G9774 · Patients who have had a hysterectomy

  • HCPCS G9778 · Patients who have a diagnosis of pregnancy

  • HCPCS G9780 · Patients who have a diagnosis of rhabdomyolysis

  • HCPCS G9470 · Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills


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”