G9804 HCPCS Level II code: Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
CMS terminated G9804: its last date of service was Dec 31, 2020. It stays here for looking up older claims; newer services need a current code.
Official description
G9804Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
Short description: Pt not presc 135 day trmt
HCPCS · United States
Medicare details
The indicators CMS publishes with G9804 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
- Terminated after
- Dec 31, 2020
Where G9804 sits
- 1G codesProcedures and professional services
- 2Terminated G9804Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
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
Is HCPCS code G9804 still valid?
No. CMS terminated G9804; its last date of service was Dec 31, 2020. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G9804?
CMS lists G9804’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 G9804
All G codesG9798Discharge(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 periodG9803Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for amiG9805Patients who use hospice services any time during the measurement periodG9806Patients who received cervical cytology or an hpv testG9807Patients who did not receive cervical cytology or an hpv testG9808Any patients who had no asthma controller medications dispensed during the measurement yearG9809Patients who use hospice services any time during the measurement periodG9810Patient achieved a pdc of at least 75% for their asthma controller medication