HCPCS Code G8969

Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)

Procedures/Professional Services (Temporary Codes)

G8969 is a valid 2024 HCPCS code for Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation) or just “Doc pt rsn no presc warf/fda” for short, used in Medical care.

HCPCS Code Details - G8969

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8969
Description

Long description:
Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)

Short description:
Doc pt rsn no presc warf/fda

HCPCS Modifier1
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 M5B - Specialist - psychiatry
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2022
Date added Added Jan 01, 2013
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment

See also

  • HCPCS G8968 · Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)

  • HCPCS G0921 · Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)

  • HCPCS G2094 · Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons)

  • HCPCS G8706 · Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)

  • HCPCS G8866 · Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)

  • HCPCS G8949 · Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)

  • HCPCS G9191 · Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)

  • HCPCS G9250 · Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment

  • HCPCS G9251 · Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment

  • HCPCS G9254 · Documentation of patient discharged to home later than post-operative day 2 following cas

  • HCPCS G9255 · Documentation of patient discharged to home no later than post operative day 2 following cas

  • HCPCS G9256 · Documentation of patient death following cas

  • HCPCS G9257 · Documentation of patient stroke following cas

  • HCPCS G9258 · Documentation of patient stroke following cea

  • HCPCS G9259 · Documentation of patient survival and absence of stroke following cas

  • HCPCS G9260 · Documentation of patient death following cea

  • HCPCS G8970 · No risk factors or one moderate risk factor for thromboembolism

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”