G8128 – Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG8128
- Long description
- Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure
- Short description
- Pt inelig for antidepres med
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
M5DSpecialist - other- Added
- January 1, 2006
- Last change
- January 1, 2015 – No change
- Termination date
- December 31, 2014
Frequently asked questions
What is HCPCS code G8128?
G8128 is a HCPCS Level II code for clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure. It was discontinued on December 31, 2014.
Does Medicare cover G8128?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G6053 – Methadone
- G6054 – Methsuximide
- G6055 – Nicotine
- G6056 – Opiate(s), drug and metabolites, each procedure
- G6057 – Phenothiazine
- G6058 – Drug confirmation, each procedure
- G8126 – Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase
- G8127 – Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase
- G8395 – Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8396 – Left ventricular ejection fraction (lvef) not performed or documented
- G8397 – Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
- G8398 – Dilated macular or fundus exam not performed
- G8399 – Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
- G8400 – Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given
- G8401 – Clinician documented that patient was not an eligible candidate for screening
- G8404 – Lower extremity neurological exam performed and documented
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.