G9201 – Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9201
- Long description
- Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission
- Short description
- Vte given upon admission
- 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, 2014
- Last change
- January 1, 2015 – No change
- Termination date
- December 31, 2014
Frequently asked questions
What is HCPCS code G9201?
G9201 is a HCPCS Level II code for venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission. It was discontinued on December 31, 2014.
Does Medicare cover G9201?
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
- G9193 – Clinician documented that patient with a diagnosis of major depression was not an eligible candidate for antidepressant medication treatment or patient did not have a diagnosis of major depression
- G9194 – Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase
- G9195 – Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 180 day (6 months) continuation treatment phase
- G9196 – Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s))
- G9197 – Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
- G9198 – Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given
- G9199 – Venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during inpatient stay, patient already on warfarin or another anticoagulant, other medical reason(s) or eg, patient left against medical advice, other patient reason(s))
- G9200 – Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given
- G9202 – Patients with a positive hepatitis c antibody test
- G9203 – Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
- G9204 – Rna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
- G9205 – Patient starting antiviral treatmentfor hepatitis c during the measurement period
- G9206 – Patient starting antiviral treatment for hepatitis c during the measurement period
- G9207 – Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
- G9208 – Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
- G9209 – Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatment
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.