G9370 HCPCS Level II code: Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater
CMS terminated G9370: its last date of service was Dec 31, 2015. It stays here for looking up older claims; newer services need a current code.
Official description
G9370Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater
Short description: Not fill 2 rx antipsych
HCPCS · United States
Medicare details
The indicators CMS publishes with G9370 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
- Undefined codes
- Added
- Jan 1, 2015
- Terminated after
- Dec 31, 2015
Where G9370 sits
- 1G codesProcedures and professional services
- 2Terminated G9370Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater
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 G9370 still valid?
No. CMS terminated G9370; its last date of service was Dec 31, 2015. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9370?
CMS lists G9370’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 G9370
All G codesG9364Sinusitis caused by, or presumed to be caused by, bacterial infectionG9365One high-risk medication orderedG9366One high-risk medication not orderedG9367At least two orders for high-risk medications from the same drug classG9368At least two orders for high-risk medications from the same drug class not orderedG9369Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greaterG9376Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgeryG9377Patient did not have the retina attached after 6 months following only one surgeryG9378Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)G9379Patient did not achieve flat retinas six months post surgeryG9380Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement periodG9381Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period