What is HCPCS code G8597?

G8597 is the HCPCS Level II code for Most recent ldl-c >= 100 mg/dl. It falls in Section G (Procedures / Professional Services (Temporary)) of the 2026 HCPCS Level II code set maintained by CMS.

Is G8597 covered by Medicare?

Medicare coverage status for G8597 is: Carrier judgment. Always confirm current coverage with the payer.

Under Medicare Part B, G8597 is priced as: Not separately priced by Part B.

G8597 Most recent ldl-c >= 100 mg/dl

Short descriptor: Ldl >= 100

⚠ Terminated HCPCS Level II 2026

Terminated Code

G8597 was terminated as of 2014-12-31 and should not be reported for dates of service after that date. This page is retained for historical reference.

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G8597 is the HCPCS Level II code for Most recent ldl-c >= 100 mg/dl (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Section: G: Procedures / Professional Services (Temporary)
Medicare Coverage: Carrier judgment (code C)
Part B Pricing: Not separately priced by Part B (indicator 00)
Type of Service: Medical care
Effective Date: 2015-01-01
Termination Date: 2014-12-31
2026 Maintenance: No change this year

References

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Reference G8597 with the canonical source and edition:

G8597 — Most recent ldl-c >= 100 mg/dl. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G8597

Canonical URL: https://icd10codingpro.com/hcpcs-codes/G8597

G8597 Most recent ldl-c >= 100 mg/dl

Classification & CMS Attributes

References

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Related Codes in Section G

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