G8963 — Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years
G8963 is a HCPCS Level II code for cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2023 and is not valid on new claims.
This code has been terminated
CMS terminated G8963 on December 31, 2023. 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 G8963
- Long descriptor
- Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years
- Short descriptor
- Csi per asx pt w/pci 2 yrs
- Added
- January 1, 2013
- Terminated
- December 31, 2023
- 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 G8963
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8963 is not quite right, the correct code is very often within a few positions of it.
- G8955Most recent assessment of adequacy of volume management documented
- G8956Patient receiving maintenance hemodialysis in an outpatient dialysis facility
- G8957Patient not receiving maintenance hemodialysis in an outpatient dialysis facilityterminated
- G8958Assessment of adequacy of volume management not documented, reason not given
- G8959Clinician treating major depressive disorder communicates to clinician treating comorbid conditionterminated
- G8960Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not giventerminated
- G8961Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery
- G8962Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery
- G8964Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)terminated
- G8965Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessmentterminated
- G8966Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessmentterminated
- G8967Fda approved oral anticoagulant is prescribed
- G8968Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)
- G8969Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)
- G8970No risk factors or one moderate risk factor for thromboembolism
- G8971Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not giventerminated
Questions about G8963
What is HCPCS code G8963?
G8963 is a HCPCS Level II code for cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8963?
The CMS HCPCS file marks G8963 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 G8963 still valid?
No. G8963 was terminated on December 31, 2023 and should not be used on new claims.