G9804 – Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9804
- Long description
- Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
- Short description
- Pt not presc 135 day trmt
- 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, 2021 – No change
- Termination date
- December 31, 2020
Frequently asked questions
What is HCPCS code G9804?
G9804 is a HCPCS Level II code for patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami. It was discontinued on December 31, 2020.
Does Medicare cover G9804?
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
- G9796 – Patient is currently on a high intensity statin therapy
- 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
- G9805 – Patients who use hospice services any time during the measurement period
- G9806 – Patients who received cervical cytology or an hpv test
- G9807 – Patients who did not receive cervical cytology or an hpv test
- G9808 – Any patients who had no asthma controller medications dispensed during the measurement year
- G9809 – Patients who use hospice services any time during the measurement period
- G9810 – Patient achieved a pdc of at least 75% for their asthma controller medication
- G9811 – Patient did not achieve a pdc of at least 75% for their asthma controller medication
- G9812 – Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.