G9787 — Patient alive as of the last day of the measurement year
G9787 is a HCPCS Level II code for patient alive as of the last day of the measurement year. 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 G9787
- Long descriptor
- Patient alive as of the last day of the measurement year
- Short descriptor
- Pt alive
- Added
- January 1, 2017
- BETOS
- Z2
- 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 G9787
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9787 is not quite right, the correct code is very often within a few positions of it.
- G9779Patients who are breastfeeding at any time during the performance period
- G9780Patients who have a diagnosis of rhabdomyolysis at any time during the performance period
- G9781Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons)
- G9782History of or active diagnosis of familial hypercholesterolemia
- G9783Documentation of patients with diabetes who have a most recent fasting or direct ldl- c laboratory test result < 70 mg/dl and are not taking statin therapyterminated
- G9784Pathologists/dermatopathologists providing a second opinion on a biopsy
- G9785Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist
- G9786Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) was not sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist
- G9788Most recent bp is less than or equal to 130/80 mm hg
- G9789Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits
- G9790Most recent bp is greater than 130/80 mm hg, or blood pressure not documented
- G9791Most recent tobacco status is tobacco free
- G9792Most recent tobacco status is not tobacco free
- G9793Patient is currently on a daily aspirin or other antiplatelet
- G9794Documentation 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 bypass or documentation of active anticoagulant use during the measurement period)
- G9795Patient is not currently on a daily aspirin or other antiplatelet
Questions about G9787
What is HCPCS code G9787?
G9787 is a HCPCS Level II code for patient alive as of the last day of the measurement year. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9787?
The CMS HCPCS file marks G9787 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 G9787 paid under the physician fee schedule?
G9787 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.