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HCPCS codes / G / G9277

G9277

Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
M5B
Pricing indicator
00
Effective date
20160101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.