G8737 — Most current ldl-c >=100mg/dl
G8737 is a HCPCS Level II code for most current ldl-c >=100mg/dl. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2014 and is not valid on new claims.
This code has been terminated
CMS terminated G8737 on December 31, 2014. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for G8737
- Long descriptor
- Most current ldl-c >=100mg/dl
- Short descriptor
- Ldl-c >=100mg/dl
- Added
- January 1, 2012
- Terminated
- December 31, 2014
- BETOS
- M5B
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G8737
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8737 is not quite right, the correct code is very often within a few positions of it.
- G8728Fasting lipid profile not performed, reason not giventerminated
- G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documentedterminated
- G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan requiredterminated
- G8732No documentation of pain assessment, reason not giventerminated
- G8733Elder maltreatment screen documented as positive and a follow-up plan is documented
- G8734Elder maltreatment screen documented as negative, follow-up is not required
- G8735Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given
- G8736Most current ldl-c <100mg/dlterminated
- G8738Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic functionterminated
- G8739Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic functionterminated
- G8740Left ventricular ejection fraction (lvef) not performed or assessed, reason not giventerminated
- G8749Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)
- G8751Smoking status and exposure to second hand smoke in the home not assessed, reason not giventerminated
- G8752Most recent systolic blood pressure < 140 mmhg
- G8753Most recent systolic blood pressure >= 140 mmhg
- G8754Most recent diastolic blood pressure < 90 mmhg
Questions about G8737
What is HCPCS code G8737?
G8737 is a HCPCS Level II code for most current ldl-c >=100mg/dl. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8737?
The CMS HCPCS file marks G8737 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is G8737 still valid?
No. G8737 was terminated on December 31, 2014 and should not be used on new claims.