G9698 — Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)
G9698 is a HCPCS Level II code for documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance). 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 G9698
- Long descriptor
- Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)
- Short descriptor
- Sys rsn no presc bronchdil
- Added
- January 1, 2017
- 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 G9698
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9698 is not quite right, the correct code is very often within a few positions of it.
- G9690Patient receiving hospice services any time during the measurement period
- G9691Patient had hospice services any time during the measurement period
- G9692Hospice services received by patient any time during the measurement period
- G9693Patient use of hospice services any time during the measurement period
- G9694Hospice services utilized by patient any time during the measurement period
- G9695Long-acting inhaled bronchodilator prescribed
- G9696Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
- G9697Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilatorterminated
- G9699Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified
- G9700Patients who use hospice services any time during the measurement period
- G9701Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was establishedterminated
- G9702Patients who use hospice services any time during the measurement period
- G9703Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date
- G9704Ajcc breast cancer stage i: t1 mic or t1a documented
- G9705Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented
- G9706Low (or very low) risk of recurrence, prostate cancer
Questions about G9698
What is HCPCS code G9698?
G9698 is a HCPCS Level II code for documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance). It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9698?
The CMS HCPCS file marks G9698 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 G9698 paid under the physician fee schedule?
G9698 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.