G9315 HCPCS Level II Code: Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis
Medicare Coverage & Payment
- CMS short descriptor: Amox w/wo clav rx
- 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, 2023
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.
Contextual Map
Every relationship of G9315 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)
- G9300 — Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used)[Sibling]— CMS HCPCS Level II code set
- G9301 — Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet[Sibling]— CMS HCPCS Level II code set
- G9302 — Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not given[Sibling]— CMS HCPCS Level II code set
- G9303 — Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant, reason not given[Sibling]— CMS HCPCS Level II code set
- G9304 — Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant[Sibling]— CMS HCPCS Level II code set
- G9305 — Intervention for presence of leak of endoluminal contents through an anastomosis not required[Sibling]— CMS HCPCS Level II code set
- G9306 — Intervention for presence of leak of endoluminal contents through an anastomosis required[Sibling]— CMS HCPCS Level II code set
- G9307 — No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2014 — Added to the code set [Change history]— CMS release files (code change ledger)
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, 2014Added to the code setAmoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9315 in its code family, with their registry titles.
- G9310 — Unplanned hospital readmission within 30 days of principal procedure
- G9311 — No surgical site infection
- G9312 — Surgical site infection
- G9313 — Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason
- G9314 — Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given
- G9316 — Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk…
- G9317 — Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk…
- G9318 — Imaging study named according to standardized nomenclature
- G9319 — Imaging study not named according to standardized nomenclature, reason not given
- G9320 — Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation…