G8891 — Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8891 is a HCPCS Level II code for documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate). 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 G8891 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 G8891
- Long descriptor
- Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
- Short descriptor
- Doc med reas no ldl-c contrl
- 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 G8891
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8891 is not quite right, the correct code is very often within a few positions of it.
- G8883Biopsy results reviewed, communicated, tracked and documentedterminated
- G8884Clinician documented reason that patient's biopsy results were not reviewedterminated
- G8885Biopsy results not reviewed, communicated, tracked or documentedterminated
- G8886Most recent blood pressure under controlterminated
- G8887Documentation of medical reason(s) for most recent blood pressure not being under control (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)terminated
- G8888Most recent blood pressure not under control, results documented and reviewedterminated
- G8889No documentation of blood pressure measurement, reason not giventerminated
- G8890Most recent ldl-c under control, results documented and reviewedterminated
- G8892Documentation of medical reason(s) for not performing ldl-c test (e.g. patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)terminated
- G8893Most recent ldl-c not under control, results documented and reviewedterminated
- G8894Ldl-c not performed, reason not giventerminated
- G8895Oral aspirin or other antithrombotic therapy prescribedterminated
- G8896Documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled)terminated
- G8897Oral aspirin or other antithrombotic therapy was not prescribed, reason not giventerminated
- G8898I intend to report the chronic obstructive pulmonary disease (copd) measures groupterminated
- G8899I intend to report the inflammatory bowel disease (ibd) measures groupterminated
Questions about G8891
What is HCPCS code G8891?
G8891 is a HCPCS Level II code for documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate). It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8891?
The CMS HCPCS file marks G8891 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 G8891 still valid?
No. G8891 was terminated on December 31, 2014 and should not be used on new claims.