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G9703 HCPCS Level II code: Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

G9703 is the HCPCS code for “Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G9703

Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

Short description: Anbx 30 prior to episode

HCPCS · United States

Medicare details

The indicators CMS publishes with G9703 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 G9703 sits

  1. 1G codesProcedures and professional services
  2. 2Active code G9703Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

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.

See G9703 in the CMS source

Frequently asked questions

What does HCPCS code G9703 mean?

G9703 is the HCPCS code for “Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G9703?

CMS lists G9703’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 G9703

G9697Documentation 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 periodG9704Ajcc breast cancer stage i: t1 mic or t1a documentedG9705Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documentedG9706Low (or very low) risk of recurrence, prostate cancerG9707Patient received hospice services any time during the measurement periodG9708Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomyG9709Hospice services used by patient any time during the measurement period