G9470 — Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills
G9470 is a HCPCS Level II code for patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
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.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
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The CMS record for G9470
- Long descriptor
- Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills
- Short descriptor
- No rec cortico>60d 1rx 600mg
- Added
- January 1, 2015
- BETOS
- Z2
- 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.
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 G9470
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9470 is not quite right, the correct code is very often within a few positions of it.
- G9460Tobacco assessment or tobacco cessation intervention not performed, reason not giventerminated
- G9463I intend to report the sinusitis measures groupterminated
- G9464All quality actions for the applicable measures in the sinusitis measures group have been performed for this patientterminated
- G9465I intend to report the acute otitis externa (aoe) measures groupterminated
- G9466All quality actions for the applicable measures in the aoe measures group have been performed for this patientterminated
- G9467Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve monthsterminated
- G9468Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills
- G9469Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fillsterminated
- G9471Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented
- G9472Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribedterminated
- G9473Services performed by chaplain in the hospice setting, each 15 minutes
- G9474Services performed by dietary counselor in the hospice setting, each 15 minutes
- G9475Services performed by other counselor in the hospice setting, each 15 minutes
- G9476Services performed by volunteer in the hospice setting, each 15 minutes
- G9477Services performed by care coordinator in the hospice setting, each 15 minutes
- G9478Services performed by other qualified therapist in the hospice setting, each 15 minutes
Questions about G9470
What is HCPCS code G9470?
G9470 is a HCPCS Level II code for patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9470?
The CMS HCPCS file marks G9470 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.
How is G9470 paid under the physician fee schedule?
G9470 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.