2019 HCPCS Codes > G Codes >


Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)

  • Effective Date: 2016-01-01
  • Termination Date: 2016-12-31
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Undefined codes

Medicare has not assigned a fee schedule for this code

G9666       G9669