G9468 – Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9468
- Long description
- Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills
- Short description
- No recd cortico>=10mg/d >60d
- 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, 2015 – No change
Frequently asked questions
What is HCPCS code G9468?
G9468 is a HCPCS Level II code for patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills.
Does Medicare cover G9468?
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
- G9458 – Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user
- G9459 – Currently a tobacco non-user
- G9460 – Tobacco assessment or tobacco cessation intervention not performed, reason not given
- G9463 – I intend to report the sinusitis measures group
- G9464 – All quality actions for the applicable measures in the sinusitis measures group have been performed for this patient
- G9465 – I intend to report the acute otitis externa (aoe) measures group
- G9466 – All quality actions for the applicable measures in the aoe measures group have been performed for this patient
- G9467 – Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve months
- G9469 – Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills
- G9470 – Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills
- G9471 – Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented
- G9472 – Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed
- G9473 – Services performed by chaplain in the hospice setting, each 15 minutes
- G9474 – Services performed by dietary counselor in the hospice setting, each 15 minutes
- G9475 – Services performed by other counselor in the hospice setting, each 15 minutes
- G9476 – Services performed by volunteer in the hospice setting, each 15 minutes
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.