G9676 HCPCS Level II code: Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as…
G9676 is the HCPCS code for “Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9676Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period
Short description: 40-75y w/type 1/2 w/ldl-c rs
HCPCS · United States
Medicare details
The indicators CMS publishes with G9676 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 G9676 sits
- 1G codesProcedures and professional services
- 2Active code G9676Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period
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 G9676 mean?
G9676 is the HCPCS code for “Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9676?
CMS lists G9676’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 G9676
All G codesG9670All quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patientG9671I intend to report the diabetic retinopathy measures groupG9672All quality actions for the applicable measures in the diabetic retinopathy measures group have been performed for this patientG9673I intend to report the cardiovascular prevention measures groupG9674Patients with clinical ascvd diagnosisG9675Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dlG9677All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for this patientG9678Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries…G9679This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiaryG9680This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiaryG9681This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiaryG9682This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary