HCPCS Level II · Procedures and professional services (temporary)
G8815Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About G8815
G8815 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease).
It was added to HCPCS effective 01/01/2012, and its current record took effect 01/01/2017.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Doc reas no statin therapy
- Date added
- 01/01/2012
- Action effective
- 01/01/2017
- BETOS
- M5B
Related G88xx codes
- G8806Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
- G8807Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
- G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
- G8816Statin medication prescribed at discharge
- G8817Statin therapy not prescribed at discharge, reason not given
- G8826Patient discharged to home no later than post-operative day #2 following evar
- G8833Patient not discharged to home by post-operative day #2 following evar
- G8834Patient discharged to home no later than post-operative day #2 following cea
- G8838Patient not discharged to home by post-operative day #2 following cea
- G8839Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness
- G8840Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)
- G8841Sleep apnea symptoms not assessed, reason not given
Common questions about G8815
Is HCPCS G8815 still valid?
- Yes. G8815 is active in the CMS October 2026 HCPCS file.
Does Medicare cover G8815?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.