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Dx

HCPCS Level II · Procedures and professional services (temporary)

G9199Venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during inpatient stay, patient already on warfarin or another anticoagulant, other medical reason(s) or eg, patient left against medical advice, other patient reason(s))

Terminated 12/31/2014

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About G9199

G9199 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during inpatient stay, patient already on warfarin or another anticoagulant, other medical reason(s) or eg, patient left against medical advice, other patient reason(s)).

It was added to HCPCS effective 01/01/2014, and its current record took effect 01/01/2015.

It was terminated on 12/31/2014 and can't be billed for later dates of service.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Doc reason for no vte
Date added
01/01/2014
Action effective
01/01/2015
Termination date
12/31/2014
BETOS
M5B

Related G91xx codes

Common questions about G9199

Is HCPCS G9199 still valid?

No. G9199 was terminated on 12/31/2014.

Does Medicare cover G9199?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.