G9301 — Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet
G9301 is a HCPCS Level II code for patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2020 and is not valid on new claims.
This code has been terminated
CMS terminated G9301 on December 31, 2020. 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 G9301
- Long descriptor
- Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet
- Short descriptor
- Doc compl inf antibio
- Added
- January 1, 2014
- Terminated
- December 31, 2020
- 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.
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 G9301
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9301 is not quite right, the correct code is very often within a few positions of it.
- G9293Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate
- G9294Pathology report includes the pt category and a statement on thickness and ulceration and for pt1, mitotic rate
- G9295Specimen site other than anatomic cutaneous location
- G9296Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure
- G9297Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given
- G9298Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)
- G9299Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)
- G9300Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used)terminated
- G9302Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not giventerminated
- G9303Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant, reason not giventerminated
- G9304Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implantterminated
- G9305Intervention for presence of leak of endoluminal contents through an anastomosis not required
- G9306Intervention for presence of leak of endoluminal contents through an anastomosis required
- G9307No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
- G9308Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
- G9309No unplanned hospital readmission within 30 days of principal procedure
Questions about G9301
What is HCPCS code G9301?
G9301 is a HCPCS Level II code for patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9301?
The CMS HCPCS file marks G9301 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 G9301 still valid?
No. G9301 was terminated on December 31, 2020 and should not be used on new claims.