G9197 HCPCS Level II code: Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
CMS terminated G9197: its last date of service was Dec 31, 2022. It stays here for looking up older claims; newer services need a current code.
Official description
G9197Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
Short description: Order for ceph
HCPCS · United States
Medicare details
The indicators CMS publishes with G9197 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, 2014
- Terminated after
- Dec 31, 2022
Where G9197 sits
- 1G codesProcedures and professional services
- 2Terminated G9197Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
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 G9197 still valid?
No. CMS terminated G9197; its last date of service was Dec 31, 2022. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9197?
CMS lists G9197’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 G9197
All G codesG9191Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)G9192Documentation of system reason(s) for not prescribing beta-blocker therapy (eg, other reasons attributable to the health care system)G9193Clinician documented that patient with a diagnosis of major depression was not an eligible candidate for antidepressant medication treatment or patient did not have a diagnosis…G9194Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phaseG9195Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 180 day (6 months) continuation treatment phaseG9196Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients…G9198Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not givenG9199Venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during…G9200Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not givenG9201Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admissionG9202Patients with a positive hepatitis c antibody testG9203Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c