G8726 – Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG8726
- Long description
- Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
- Short description
- Doc reas no lipid profile
- 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, 2017 – No change
- Termination date
- December 31, 2016
Frequently asked questions
What is HCPCS code G8726?
G8726 is a HCPCS Level II code for clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons). It was discontinued on December 31, 2016.
Does Medicare cover G8726?
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
- 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
- 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)
- 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)
- 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
- G8733 – Elder maltreatment screen documented as positive and a follow-up plan is documented
- G8734 – Elder maltreatment screen documented as negative, follow-up is not required
- G8735 – Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given
- G8736 – Most current ldl-c <100mg/dl
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.