G9286 HCPCS Level II code: Antibiotic regimen prescribed within 10 days after onset of symptoms
G9286 is the HCPCS code for “Antibiotic regimen prescribed within 10 days after onset of symptoms” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9286Antibiotic regimen prescribed within 10 days after onset of symptoms
Short description: Antibio rx w in 10d of sympt
HCPCS · United States
Medicare details
The indicators CMS publishes with G9286 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
Where G9286 sits
- 1G codesProcedures and professional services
- 2Active code G9286Antibiotic regimen prescribed within 10 days after onset of symptoms
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 G9286 mean?
G9286 is the HCPCS code for “Antibiotic regimen prescribed within 10 days after onset of symptoms” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9286?
CMS lists G9286’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 G9286
All G codesG9280Pneumococcal vaccination not administered prior to discharge, reason not specifiedG9281Screening performed and documentation that vaccination not indicated/patient refusalG9282Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient…G9283Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanationG9284Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanationG9285Specimen site other than anatomic location of lung or is not classified as non small cell lung cancerG9287Antibiotic regimen not prescribed within 10 days after onset of symptomsG9288Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a…G9289Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanationG9290Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanationG9291Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nosG9292Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient…