G9469 HCPCS Level II code: Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or…
CMS terminated G9469: its last date of service was Dec 31, 2020. It stays here for looking up older claims; newer services need a current code.
Official description
G9469Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills
Short description: Rec cortico>90d or 1rx 900mg
HCPCS · United States
Medicare details
The indicators CMS publishes with G9469 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, 2020
Where G9469 sits
- 1G codesProcedures and professional services
- 2Terminated G9469Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills
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 G9469 still valid?
No. CMS terminated G9469; its last date of service was Dec 31, 2020. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9469?
CMS lists G9469’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 G9469
All G codesG9463I intend to report the sinusitis measures groupG9464All quality actions for the applicable measures in the sinusitis measures group have been performed for this patientG9465I intend to report the acute otitis externa (aoe) measures groupG9466All quality actions for the applicable measures in the aoe measures group have been performed for this patientG9467Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single…G9468Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg…G9470Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg…G9471Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documentedG9472Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other…G9473Services performed by chaplain in the hospice setting, each 15 minutesG9474Services performed by dietary counselor in the hospice setting, each 15 minutesG9475Services performed by other counselor in the hospice setting, each 15 minutes