G8128 — Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure
G8128 is a HCPCS Level II code for clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2014 and is not valid on new claims.
This code has been terminated
CMS terminated G8128 on December 31, 2014. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for G8128
- Long descriptor
- Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure
- Short descriptor
- Pt inelig for antidepres med
- Added
- January 1, 2006
- Terminated
- December 31, 2014
- BETOS
- M5D
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G8128
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8128 is not quite right, the correct code is very often within a few positions of it.
- G6053Methadoneterminated
- G6054Methsuximideterminated
- G6055Nicotineterminated
- G6056Opiate(s), drug and metabolites, each procedureterminated
- G6057Phenothiazineterminated
- G6058Drug confirmation, each procedureterminated
- G8126Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phaseterminated
- G8127Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phaseterminated
- G8395Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8396Left ventricular ejection fraction (lvef) not performed or documented
- G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
- G8398Dilated macular or fundus exam not performedterminated
- G8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
- G8400Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given
- G8401Clinician documented that patient was not an eligible candidate for screeningterminated
- G8404Lower extremity neurological exam performed and documented
Questions about G8128
What is HCPCS code G8128?
G8128 is a HCPCS Level II code for clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8128?
The CMS HCPCS file marks G8128 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is G8128 still valid?
No. G8128 was terminated on December 31, 2014 and should not be used on new claims.