G8816 HCPCS Level II code: Statin medication prescribed at discharge
G8816 is the HCPCS code for “Statin medication prescribed at discharge” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G8816Statin medication prescribed at discharge
Short description: Statin med pres at disch
HCPCS · United States
Medicare details
The indicators CMS publishes with G8816 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 G8816 sits
- 1G codesProcedures and professional services
- 2Active code G8816Statin medication prescribed at discharge
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 G8816 mean?
G8816 is the HCPCS code for “Statin medication prescribed at discharge” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G8816?
CMS lists G8816’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 G8816
All G codesG8807Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not givenG8809Rh-immunoglobulin (rhogam) orderedG8810Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not givenG8815Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)G8817Statin therapy not prescribed at discharge, reason not givenG8818Patient discharge to home no later than post-operative day #7G8825Patient not discharged to home by post-operative day #7G8826Patient discharged to home no later than post-operative day #2 following evarG8833Patient not discharged to home by post-operative day #2 following evarG8834Patient discharged to home no later than post-operative day #2 following cea