G9698 HCPCS Level II Code: Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)
Medicare Coverage & Payment
- CMS short descriptor: Sys rsn no presc bronchdil
- 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, 2024
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 G9698 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)
- G9658 — A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used[Sibling]— CMS HCPCS Level II code set
- G9659 — Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits[Sibling]— CMS HCPCS Level II code set
- G9660 — Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)[Sibling]— CMS HCPCS Level II code set
- G9661 — Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions[Sibling]— CMS HCPCS Level II code set
- G9662 — Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure[Sibling]— CMS HCPCS Level II code set
- G9663 — Any ldl-c laboratory result >= 190 mg/dl[Sibling]— CMS HCPCS Level II code set
- G9664 — Patients who are currently statin therapy users or received an order (prescription) for statin therapy[Sibling]— CMS HCPCS Level II code set
- G9665 — Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2017 — 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, 2017Added to the code setDocumentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9698 in its code family, with their registry titles.
- G9689 — Patient admitted for performance of elective carotid intervention
- G9690 — Patient receiving hospice services any time during the measurement period
- G9691 — Patient had hospice services any time during the measurement period
- G9692 — Hospice services received by patient any time during the measurement period
- G9693 — Patient use of hospice services any time during the measurement period
- G9694 — Hospice services utilized by patient any time during the measurement period
- G9695 — Long-acting inhaled bronchodilator prescribed
- G9696 — Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)
- G9697 — Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator
- G9699 — Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified