Medicare Coverage & Payment

CMS short descriptor: Rec cortico>90d or 1rx 900mg
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 G9469 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)

G9443 — Statin not prescribed at discharge[Sibling]— CMS HCPCS Level II code set
G9448 — Patients who were born in the years 1945 to 1965[Sibling]— CMS HCPCS Level II code set
G9449 — History of receiving blood transfusions prior to 1992[Sibling]— CMS HCPCS Level II code set
G9450 — History of injection drug use[Sibling]— CMS HCPCS Level II code set
G9451 — Patient received one-time screening for hcv infection[Sibling]— CMS HCPCS Level II code set
G9452 — Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy[Sibling]— CMS HCPCS Level II code set
G9453 — Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)[Sibling]— CMS HCPCS Level II code set
G9454 — One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given[Sibling]— CMS HCPCS Level II code set
and 32 more

Change history (2)

January 1, 2021 — 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, 2021
Removed from the code set
Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills
January 1, 2015
Added to the code set
Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G9469 in its code family, with their registry titles.

G9469 HCPCS Level II Code: Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg…