G9796 – Patient is currently on a high intensity statin therapy
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9796
- Long description
- Patient is currently on a high intensity statin therapy
- Short description
- Pt currently on statin
- 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, 2017
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code G9796?
G9796 is a HCPCS Level II code for patient is currently on a high intensity statin therapy.
Does Medicare cover G9796?
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
- G9788 – Most recent bp is less than or equal to 130/80 mm hg
- G9789 – Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits
- G9790 – Most recent bp is greater than 130/80 mm hg, or blood pressure not documented
- G9791 – Most recent tobacco status is tobacco free
- G9792 – Most recent tobacco status is not tobacco free
- G9793 – Patient is currently on a daily aspirin or other antiplatelet
- G9794 – Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)
- G9795 – Patient is not currently on a daily aspirin or other antiplatelet
- G9797 – Patient is not on a high intensity statin therapy
- G9798 – Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement period
- G9799 – Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period
- G9800 – Patients who are identified as having an intolerance or allergy to beta-blocker therapy
- G9801 – Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis
- G9802 – Patients who use hospice services any time during the measurement period
- G9803 – Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
- G9804 – Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.