G8721 HCPCS Level II code: Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
G8721 is the HCPCS code for “Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
Short description: Pt, pn, hist grade doc
HCPCS · United States
Medicare details
The indicators CMS publishes with G8721 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Specialist - psychiatry
- Added
- Jan 1, 2012
Where G8721 sits
- 1G codesProcedures and professional services
- 2Active code G8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G8721 mean?
G8721 is the HCPCS code for “Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G8721?
CMS lists G8721’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G8721
All G codesG8712Antibiotic not prescribed or dispensedG8713Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])G8714Hemodialysis treatment performed exactly three times per week for > 90 daysG8717Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not givenG8718Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])G8720Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])G8722Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor…G8723Specimen site is other than anatomic location of primary tumorG8724Pt category, pn category and histologic grade were not documented in the pathology report, reason not givenG8725Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)G8726Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)G8728Fasting lipid profile not performed, reason not given