G8722 – Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG8722
- Long description
- Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)
- Short description
- Med reas pt, pn, not doc
- 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
M5BSpecialist - psychiatry- Added
- January 1, 2012
- Last change
- January 1, 2014 – No change
Frequently asked questions
What is HCPCS code G8722?
G8722 is a HCPCS Level II code for documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal).
Does Medicare cover G8722?
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
- G8711 – Prescribed antibiotic on or within 3 days after the episode date
- G8712 – Antibiotic not prescribed or dispensed
- G8713 – Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])
- G8714 – Hemodialysis treatment performed exactly three times per week for > 90 days
- G8717 – Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given
- G8718 – Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])
- G8720 – Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])
- G8721 – Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
- G8723 – Specimen site is other than anatomic location of primary tumor
- G8724 – Pt category, pn category and histologic grade were not documented in the pathology report, reason not given
- G8725 – Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)
- G8726 – Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
- G8728 – Fasting lipid profile not performed, reason not given
- G8730 – Pain assessment documented as positive using a standardized tool and a follow-up plan is documented
- G8731 – Pain assessment using a standardized tool is documented as negative, no follow-up plan required
- G8732 – No documentation of pain assessment, reason not given
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.