G8712 — Antibiotic not prescribed or dispensed
G8712 is a HCPCS Level II code for antibiotic not prescribed or dispensed. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
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.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G8712
- Long descriptor
- Antibiotic not prescribed or dispensed
- Short descriptor
- Not pres antibiotic
- Added
- January 1, 2012
- BETOS
- M5B
- 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.
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 G8712
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G8712 is not quite right, the correct code is very often within a few positions of it.
- G870412-lead electrocardiogram (ecg) performedterminated
- G8705Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg)terminated
- G8706Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)terminated
- G870712-lead electrocardiogram (ecg) not performed, reason not giventerminated
- G8708Patient not prescribed antibiotic
- G8709Uri episodes when the patient had competing diagnoses on or three days after the episode date (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, or 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 or uti, and acne)
- G8710Patient prescribed antibiotic
- G8711Prescribed antibiotic on or within 3 days after the episode date
- G8713Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])terminated
- G8714Hemodialysis treatment performed exactly three times per week for > 90 daysterminated
- G8717Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not giventerminated
- G8718Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])terminated
- G8720Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])terminated
- G8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
- G8722Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)
- G8723Specimen site is other than anatomic location of primary tumor
Questions about G8712
What is HCPCS code G8712?
G8712 is a HCPCS Level II code for antibiotic not prescribed or dispensed. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G8712?
The CMS HCPCS file marks G8712 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.
How is G8712 paid under the physician fee schedule?
G8712 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.