G9927 — Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment
G9927 is a HCPCS Level II code for documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2023 and is not valid on new claims.
This code has been terminated
CMS terminated G9927 on December 31, 2023. 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 G9927
- Long descriptor
- Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment
- Short descriptor
- Doc no warf /fda pt trial
- Added
- January 1, 2018
- Terminated
- December 31, 2023
- 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.
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 G9927
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9927 is not quite right, the correct code is very often within a few positions of it.
- G9919Screening performed and positive and provision of recommendations
- G9920Screening performed and negative
- G9921No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specifiedterminated
- G9922Safety concerns screen provided and if positive then documented mitigation recommendations
- G9923Safety concerns screen provided and negative
- G9924Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason)terminated
- G9925Safety concerns screening not provided, reason not otherwise specified
- G9926Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources
- G9928Fda-approved anticoagulant not prescribed, reason not given
- G9929Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)
- G9930Patients who are receiving comfort care only
- G9931Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women
- G9932Documentation of patient reason(s) for not having records of negative or managed positive tb screen (e.g., patient does not return for mantoux (ppd) skin test evaluation)terminated
- G9933Adenoma(s) or colorectal cancer detected during screening colonoscopyterminated
- G9934Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenomaterminated
- G9935Adenoma(s) or colorectal cancer not detected during screening colonoscopyterminated
Questions about G9927
What is HCPCS code G9927?
G9927 is a HCPCS Level II code for documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9927?
The CMS HCPCS file marks G9927 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 G9927 still valid?
No. G9927 was terminated on December 31, 2023 and should not be used on new claims.