G9674 — Patients with clinical ascvd diagnosis
G9674 is a HCPCS Level II code for patients with clinical ascvd diagnosis. 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
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G9674
- Long descriptor
- Patients with clinical ascvd diagnosis
- Short descriptor
- Pt w/clin ascvd dx
- 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 G9674
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9674 is not quite right, the correct code is very often within a few positions of it.
- G9665Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy
- G9666Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dlterminated
- G9667Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)terminated
- G9669I intend to report the multiple chronic conditions measures groupterminated
- G9670All quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patientterminated
- G9671I intend to report the diabetic retinopathy measures groupterminated
- G9672All quality actions for the applicable measures in the diabetic retinopathy measures group have been performed for this patientterminated
- G9673I intend to report the cardiovascular prevention measures groupterminated
- G9675Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl
- G9676Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period
- G9677All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for this patientterminated
- G9678Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreementterminated
- G9679This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary
- G9680This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary
- G9681This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary
- G9682This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary
Questions about G9674
What is HCPCS code G9674?
G9674 is a HCPCS Level II code for patients with clinical ascvd diagnosis. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9674?
The CMS HCPCS file marks G9674 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 G9674 paid under the physician fee schedule?
G9674 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.