G9696 HCPCS Level II code: Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
G9696 is the HCPCS code for “Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9696Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
Short description: Med rsn no presc bronchdil
HCPCS · United States
Medicare details
The indicators CMS publishes with G9696 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, 2017
Where G9696 sits
- 1G codesProcedures and professional services
- 2Active code G9696Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
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 G9696 mean?
G9696 is the HCPCS code for “Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9696?
CMS lists G9696’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 G9696
All G codesG9690Patient receiving hospice services any time during the measurement periodG9691Patient had hospice services any time during the measurement periodG9692Hospice services received by patient any time during the measurement periodG9693Patient use of hospice services any time during the measurement periodG9694Hospice services utilized by patient any time during the measurement periodG9695Long-acting inhaled bronchodilator prescribedG9697Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilatorG9698Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)G9699Long-acting inhaled bronchodilator not prescribed, reason not otherwise specifiedG9700Patients who use hospice services any time during the measurement periodG9701Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was establishedG9702Patients who use hospice services any time during the measurement period