G8736 HCPCS Level II Code: Most current LDL-c <100mg/dl
Medicare Coverage & Payment
- CMS short descriptor: Ldl-c <100mg/dl
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: M5B — Specialist - psychiatry
- Last CMS action effective: January 1, 2015
- Terminated: December 31, 2014
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Code Set: Removed from the code set — not valid on or after January 1, 2015.
Contextual Map
Every relationship of G8736 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G8711 — Prescribed antibiotic on or within 3 days after the episode date[Sibling]— CMS HCPCS Level II code set
- G8712 — Antibiotic not prescribed or dispensed[Sibling]— CMS HCPCS Level II code set
- G8713 — Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])[Sibling]— CMS HCPCS Level II code set
- G8714 — Hemodialysis treatment performed exactly three times per week for > 90 days[Sibling]— CMS HCPCS Level II code set
- G8717 — Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given[Sibling]— CMS HCPCS Level II code set
- G8718 — Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])[Sibling]— CMS HCPCS Level II code set
- G8720 — Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])[Sibling]— CMS HCPCS Level II code set
- G8721 — Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history (2)
- January 1, 2015 — Removed from the code set [Change history]— CMS release files (code change ledger)
- and 1 more
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2015Removed from the code setMost current ldl-c <100mg/dl
- January 1, 2012Added to the code setMost current ldl-c <100mg/dl
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G8736 in its code family, with their registry titles.
- G8731 — Pain assessment using a standardized tool is documented as negative, no follow-up plan required
- G8732 — No documentation of pain assessment, reason not given
- G8733 — Elder maltreatment screen documented as positive and a follow-up plan is documented
- G8734 — Elder maltreatment screen documented as negative, follow-up is not required
- G8735 — Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given
- G8737 — Most current ldl-c >=100mg/dl
- G8738 — Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function
- G8739 — Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8740 — Left ventricular ejection fraction (lvef) not performed or assessed, reason not given
- G8749 — Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea,…