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.