G9797 HCPCS Level II Code: Patient is not on a high intensity statin therapy
Medicare Coverage & Payment
- CMS short descriptor: Pt not currently on statin
- 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, 2026
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 G9797 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)
- G9759 — History of preoperative posterior capsule rupture[Sibling]— CMS HCPCS Level II code set
- G9760 — Patients who use hospice services any time during the measurement period[Sibling]— CMS HCPCS Level II code set
- G9761 — Patients who use hospice services any time during the measurement period[Sibling]— CMS HCPCS Level II code set
- G9762 — Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays[Sibling]— CMS HCPCS Level II code set
- G9763 — Patient did not have at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays[Sibling]— CMS HCPCS Level II code set
- G9764 — Patient has been treated with a systemic medication for psoriasis vulgaris[Sibling]— CMS HCPCS Level II code set
- G9765 — Documentation that the patient declined change in medication or alternative therapies were unavailable, has documented contraindications, or has not been treated with a systemic medication for at least six consecutive months (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi[Sibling]— CMS HCPCS Level II code set
- G9766 — Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment[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 setPatient is not on a high intensity statin therapy
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9797 in its code family, with their registry titles.
- G9789 — Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits
- G9790 — Most recent bp is greater than 130/80 mm hg, or blood pressure not documented
- G9791 — Most recent tobacco status is tobacco free
- G9792 — Most recent tobacco status is not tobacco free
- G9793 — Patient is currently on a daily aspirin or other antiplatelet
- G9794 — Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (itp), gastric…
- G9795 — Patient is not currently on a daily aspirin or other antiplatelet
- G9796 — Patient is currently on a high intensity statin therapy
- G9798 — Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement period
- G9799 — Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period