G9796 HCPCS Level II code: Patient is currently on a high intensity statin therapy
G9796 is the HCPCS code for “Patient is currently on a high intensity statin therapy” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9796Patient is currently on a high intensity statin therapy
Short description: Pt currently on statin
HCPCS · United States
Medicare details
The indicators CMS publishes with G9796 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 G9796 sits
- 1G codesProcedures and professional services
- 2Active code G9796Patient is currently on a high intensity statin therapy
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 G9796 mean?
G9796 is the HCPCS code for “Patient is currently on a high intensity statin therapy” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9796?
CMS lists G9796’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 G9796
All G codesG9790Most recent bp is greater than 130/80 mm hg, or blood pressure not documentedG9791Most recent tobacco status is tobacco freeG9792Most recent tobacco status is not tobacco freeG9793Patient is currently on a daily aspirin or other antiplateletG9794Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic…G9795Patient is not currently on a daily aspirin or other antiplateletG9797Patient is not on a high intensity statin therapyG9798Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement periodG9799Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure periodG9800Patients who are identified as having an intolerance or allergy to beta-blocker therapyG9801Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosisG9802Patients who use hospice services any time during the measurement period