G8631 – Clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Discontinued December 31, 2014 Carrier judgment

HCPCS codeG8631
Long description
Clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)
Short description
Pt no elg 4 order antbi give
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
M5B Specialist - psychiatry
Added
January 1, 2011
Last change
January 1, 2015 – No change
Termination date
December 31, 2014

Frequently asked questions

What is HCPCS code G8631?

G8631 is a HCPCS Level II code for clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required). It was discontinued on December 31, 2014.

Does Medicare cover G8631?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.