G8726 HCPCS Level II code: Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
CMS terminated G8726: its last date of service was Dec 31, 2016. It stays here for looking up older claims; newer services need a current code.
Official description
G8726Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
Short description: Doc reas no lipid profile
HCPCS · United States
Medicare details
The indicators CMS publishes with G8726 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
- Terminated after
- Dec 31, 2016
Where G8726 sits
- 1G codesProcedures and professional services
- 2Terminated G8726Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
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
Is HCPCS code G8726 still valid?
No. CMS terminated G8726; its last date of service was Dec 31, 2016. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G8726?
CMS lists G8726’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 G8726
All G codesG8720Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])G8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology reportG8722Documentation 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)G8728Fasting lipid profile not performed, reason not givenG8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documentedG8731Pain assessment using a standardized tool is documented as negative, no follow-up plan requiredG8732No documentation of pain assessment, reason not givenG8733Elder maltreatment screen documented as positive and a follow-up plan is documentedG8734Elder maltreatment screen documented as negative, follow-up is not required