G9712 HCPCS Level II Code: Doc med rsn presc anbx
Medicare Coverage & Payment
- CMS short descriptor: Doc med rsn presc anbx
- 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, 2017
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 Overview
Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis is a HCPCS Level II code (G9712). CMS assigns coverage code C — Carrier judgment. Short description: Doc med rsn presc anbx.
MedCoder summary Summary composed by MedCoder from this code's official HCPCS Level II record. The tabular instructional notes themselves appear verbatim below.
Contextual Map
Every relationship of G9712 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)
- G9700 — Patients who use hospice services any time during the measurement period[Sibling]— CMS HCPCS Level II code set
- G9701 — Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established[Sibling]— CMS HCPCS Level II code set
- G9702 — Patients who use hospice services any time during the measurement period[Sibling]— CMS HCPCS Level II code set
- G9703 — Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date[Sibling]— CMS HCPCS Level II code set
- G9704 — Ajcc breast cancer stage i: t1 mic or t1a documented[Sibling]— CMS HCPCS Level II code set
- G9705 — Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented[Sibling]— CMS HCPCS Level II code set
- G9706 — Low (or very low) risk of recurrence, prostate cancer[Sibling]— CMS HCPCS Level II code set
- G9707 — Patient received hospice services any time during the measurement period[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 medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9712 in its code family, with their registry titles.
- G9707 — Patient received hospice services any time during the measurement period
- G9708 — Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
- G9709 — Hospice services used by patient any time during the measurement period
- G9710 — Patient was provided hospice services any time during the measurement period
- G9711 — Patients with a diagnosis or past history of total colectomy or colorectal cancer
- G9713 — Patients who use hospice services any time during the measurement period
- G9714 — Patient is using hospice services any time during the measurement period
- G9715 — Patients who use hospice services any time during the measurement period
- G9716 — Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
- G9717 — Documentation stating the patient has had a diagnosis of bipolar disorder