G9442 – Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9442
- Long description
- Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)
- Short description
- Statin not presc doc reas
- 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
Z2Undefined 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
- G9434 – Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given
- G9435 – Aspirin prescribed at discharge
- G9436 – Aspirin not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)
- G9437 – Aspirin not prescribed at discharge
- G9438 – P2y inhibitor prescribed at discharge
- G9439 – P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)
- G9440 – P2y inhibitor not prescribed at discharge
- G9441 – Statin prescribed at discharge
- G9443 – Statin not prescribed at discharge
- G9448 – Patients who were born in the years 1945 to 1965
- G9449 – History of receiving blood transfusions prior to 1992
- G9450 – History of injection drug use
- G9451 – Patient received one-time screening for hcv infection
- G9452 – Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy
- G9453 – Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)
- G9454 – One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.