G8703 HCPCS code: Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively
G8703 is the HCPCS Level II code for documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively. CMS terminated G8703 on 2014-12-31; do not bill it for later dates of service. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | M5B |
| Added | 2012-01-01 |
| Last action effective | 2015-01-01 |
| Terminated | 2014-12-31 |
What changed for G8703
- 2012-01-01: G8703 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G8703?
G8703 is the HCPCS Level II code for documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively. Short descriptor: "Antibiotics not prior surg".
Does Medicare cover G8703?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related G87 codes
- G8700 — Rehabilitation services (occupational, physical or speech) not indicated at or prior to discharge
- G8701 — Rehabilitation services were not ordered, reason not otherwise specified
- G8702 — Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively
- G8704 — 12-lead electrocardiogram (ECG) performed
- G8705 — Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ECG)
- G8706 — Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ECG)
- G8707 — 12-lead electrocardiogram (ECG) not performed, reason not given
- G8708 — Patient not prescribed antibiotic
- G8709 — Uri 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)
- G8710 — Patient prescribed antibiotic
- G8711 — Prescribed antibiotic on or within 3 days after the episode date
- G8712 — Antibiotic not prescribed or dispensed
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Next steps
- Run a reimbursement report for a device billed under G8703
- Watch G8703 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G8703
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.