G9664 Taking statin or rec'd order

Patients who are currently statin therapy users or received an order (prescription) for statin therapy

Medicare pricing for G9664

Physician Fee Schedule (CY 2026, RVU26D)

Status M: measurement code, reporting only.

Payer policies and prior authorization for G9664

Payer coverage policies that name G9664

G9664 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaEvinacumab-dgnb (Evkeeza) (0989)listed, no stanceApr 10, 2026payer document
AetnaInclisiran (Leqvio) (1004)listed, no stanceJul 14, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.