HCPCS Code G9531

Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar
Code effective Jan 01, 2020

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9531 is a valid 2026 HCPCS code meaning Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar or (Pt doc) for short. HCPCS G9531 has been effective since 01/01/2020 and applies to Medical care.

HCPCS Code Details - G9531

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G9531
Description

Long description:
Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar

Short description:
Pt doc

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2020
Date added Added Jan 01, 2016

See also

  • HCPCS G9530 · Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider

  • HCPCS G9595 · Patient has documentation of ventricular shunt, brain tumor, or coagulopathy

  • HCPCS G9532 · Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

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