G9611 — Order for anti-platelet agents was not documented in the patient's record, reason not given
G9611 is a HCPCS Level II code for order for anti-platelet agents was not documented in the patient's record, reason not given. 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 G9611
- Long descriptor
- Order for anti-platelet agents was not documented in the patient's record, reason not given
- Short descriptor
- No doc order anti-plat rng
- Added
- January 1, 2016
- 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 G9611
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9611 is not quite right, the correct code is very often within a few positions of it.
- G9603Patient survey score improved from baseline following treatment
- G9604Patient survey results not availableterminated
- G9605Patient survey score did not improve from baseline following treatment
- G9606Intraoperative cystoscopy performed to evaluate for lower tract injury
- G9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death
- G9608Intraoperative cystoscopy not performed to evaluate for lower tract injury
- G9609Documentation of an order for anti-platelet agents
- G9610Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents
- G9612Photodocumentation of two or more cecal landmarks to establish a complete examinationterminated
- G9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)terminated
- G9614Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examinationterminated
- G9615Preoperative assessment documentedterminated
- G9616Documentation of reason(s) for not documenting a preoperative assessment (e.g., patient with a gynecologic or other pelvic malignancy noted at the time of surgery)terminated
- G9617Preoperative assessment not documented, reason not giventerminated
- G9618Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kindterminated
- G9619Documentation of reason(s) for not screening for uterine malignancy (e.g., prior hysterectomy)terminated
Questions about G9611
What is HCPCS code G9611?
G9611 is a HCPCS Level II code for order for anti-platelet agents was not documented in the patient's record, reason not given. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9611?
The CMS HCPCS file marks G9611 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 G9611 paid under the physician fee schedule?
G9611 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.