G9442 HCPCS Level II code: Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)
CMS terminated G9442: 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
G9442Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)
Short description: Statin not presc doc reas
HCPCS · United States
Medicare details
The indicators CMS publishes with G9442 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, 2016
Where G9442 sits
- 1G codesProcedures and professional services
- 2Terminated G9442Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)
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 G9442 still valid?
No. CMS terminated G9442; 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 G9442?
CMS lists G9442’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 G9442
All G codesG9436Aspirin not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)G9437Aspirin not prescribed at dischargeG9438P2y inhibitor prescribed at dischargeG9439P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)G9440P2y inhibitor not prescribed at dischargeG9441Statin prescribed at dischargeG9443Statin not prescribed at dischargeG9448Patients who were born in the years 1945 to 1965G9449History of receiving blood transfusions prior to 1992G9450History of injection drug useG9451Patient received one-time screening for hcv infectionG9452Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy