G9442 – Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)

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

Discontinued December 31, 2016 Carrier judgment

HCPCS codeG9442
Long description
Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)
Short description
Statin not presc doc reas
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
Z2 Undefined codes
Added
January 1, 2015
Last change
January 1, 2017 – No change
Termination date
December 31, 2016

Frequently asked questions

What is HCPCS code G9442?

G9442 is a HCPCS Level II code for statin not prescribed for documented reasons (e.g., allergy, medical intolerance). It was discontinued on December 31, 2016.

Does Medicare cover G9442?

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.