G8943 HCPCS Level II Code: Ldl-c result not present or not within 12 months prior
Medicare Coverage & Payment
- CMS short descriptor: Ldlc not pres w/i 12 mo prir
- 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 G8943 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)
- G8923 — Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function[Sibling]
- G8924 — Spirometry results documented (fev1/fvc < 70%)[Sibling]
- G8925 — Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms[Sibling]
- G8926 — Spirometry test not performed or documented, reason not given[Sibling]
- G8927 — Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer[Sibling]
- G8928 — Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)[Sibling]
- G8929 — Adjuvant chemotherapy not prescribed or previously received, reason not given[Sibling]
- G8930 — Assessment of depression severity at the initial evaluation[Sibling]
- and 32 more
Change history (2)
- January 1, 2015 — Removed from the code set [Change history]
- and 1 more
Sources for this page
Every coding fact on this page is read from the datasets below. Nothing is AI-generated; MedCoder-derived relationships and editorial are labelled where they appear.
- Code, descriptors, coverage and pricing attributes
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update
- Change history and date-of-service validity
- CMS HCPCS quarterly update files, ingested into the change ledger
- Comparisons, relationships and the contextual map MedCoder-derived
- Derived by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Change history
- January 1, 2015Removed from the code setLdl-c result not present or not within 12 months prior
- January 1, 2013Added to the code setLdl-c result not present or not within 12 months prior
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G8943 in its code family, with their registry titles.
- G8938 — Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible
- G8939 — Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter
- G8940 — Screening for depression documented as positive, a follow-up plan not completed, documented reason
- G8941 — Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter
- G8942 — Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional…
- G8944 — Ajcc melanoma cancer stage 0 through iic melanoma
- G8946 — Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia,…
- G8947 — One or more neuropsychiatric symptoms
- G8948 — No neuropsychiatric symptoms
- G8949 — Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood…