G8815 – Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG8815
- Long description
- Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
- Short description
- Doc reas no statin therapy
- 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
Frequently asked questions
What is HCPCS code G8815?
G8815 is a HCPCS Level II code for documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease).
Does Medicare cover G8815?
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
- G8797 – Specimen site other than anatomic location of esophagus
- G8798 – Specimen site other than anatomic location of prostate
- G8806 – Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
- G8807 – Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
- G8808 – Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
- G8809 – Rh-immunoglobulin (rhogam) ordered
- G8810 – Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)
- G8811 – Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given
- G8816 – Statin medication prescribed at discharge
- G8817 – Statin therapy not prescribed at discharge, reason not given
- G8818 – Patient discharge to home no later than post-operative day #7
- G8825 – Patient not discharged to home by post-operative day #7
- G8826 – Patient discharged to home no later than post-operative day #2 following evar
- G8833 – Patient not discharged to home by post-operative day #2 following evar
- G8834 – Patient discharged to home no later than post-operative day #2 following cea
- G8838 – Patient not discharged to home by post-operative day #2 following cea
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.