G9367 HCPCS Level II Code: At least two orders for high-risk medications from the same drug class
Medicare Coverage & Payment
- CMS short descriptor: >= 2 same hi-rsk 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, 2022
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 G9367 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)
- G9347 — Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given[Sibling]— CMS HCPCS Level II code set
- G9348 — Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons[Sibling]— CMS HCPCS Level II code set
- G9349 — Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis[Sibling]— CMS HCPCS Level II code set
- G9350 — Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis[Sibling]— CMS HCPCS Level II code set
- G9351 — More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis[Sibling]— CMS HCPCS Level II code set
- 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]— CMS HCPCS Level II code set
- G9353 — More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)[Sibling]— CMS HCPCS Level II code set
- G9354 — One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2015 — 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, 2015Added to the code setAt least two orders for high-risk medications from the same drug class
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9367 in its code family, with their registry titles.
- 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
- G9365 — One high-risk medication ordered
- G9366 — One high-risk medication not ordered
- 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
- G9376 — Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery
- G9377 — Patient did not have the retina attached after 6 months following only one surgery