G9498 HCPCS Level II code: Antibiotic regimen prescribed
G9498 is the HCPCS code for “Antibiotic regimen prescribed” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9498Antibiotic regimen prescribed
Short description: Abx reg prescribed
HCPCS · United States
Medicare details
The indicators CMS publishes with G9498 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, 2016
Where G9498 sits
- 1G codesProcedures and professional services
- 2Active code G9498Antibiotic regimen prescribed
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 G9498 mean?
G9498 is the HCPCS code for “Antibiotic regimen prescribed” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9498?
CMS lists G9498’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.
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