G9277 HCPCS - 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 Information

HCPCS Code: G9277

Sequence Number: 0010

Short Description: Doc daily aspirin or contra

Long Description: 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 Added Date: 1/1/2014

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2016

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: M5B - Specialist - psychiatry
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:
  • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G9277
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description 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)
      HCPCS Short Description Doc daily aspirin or contra
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code M5B - Specialist - psychiatry
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2014
      HCPCS Action Effective Date 1/1/2016
      HCPCS Action Code N - No maintenance for this code

      Download Record

      Download this HCPCS record in Text format: Export

      Download this HCPCS record in Excel (CSV) format: Export

      Download this HCPCS record in XML format: Export

      This page was last updated on: 1/1/2018