G9365 HCPCS Level II Code: One high-risk medication ordered
Medicare Coverage & Payment
- CMS short descriptor: 1high risk med ord
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2021
- Terminated: December 31, 2020
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, 2021.
Contextual Map
Every relationship of G9365 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)
- G9345 — Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors[Sibling]
- G9346 — Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules due to medical reasons (e.g., patients with known malignant disease, patients with unexplained fever, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)[Sibling]
- G9347 — Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given[Sibling]
- G9348 — Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons[Sibling]
- G9349 — Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis[Sibling]
- G9350 — Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis[Sibling]
- G9351 — More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis[Sibling]
- G9352 — More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given[Sibling]
- and 32 more
Change history (2)
- January 1, 2021 — 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, 2021Removed from the code setOne high-risk medication ordered
- January 1, 2015Added to the code setOne high-risk medication ordered
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9365 in its code family, with their registry titles.
- G9360 — No documentation of negative or managed positive tb screen
- G9361 — Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications,…
- G9362 — Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as documented in the anesthesia…
- G9363 — Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia less than 60…
- G9364 — Sinusitis caused by, or presumed to be caused by, bacterial infection
- G9366 — One high-risk medication not ordered
- G9367 — At least two orders for high-risk medications from the same drug class
- G9368 — At least two orders for high-risk medications from the same drug class not ordered
- G9369 — Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater
- G9370 — Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater