G8896 – Documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled)
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
- Long description
- Documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled)
- Short description
- Doc med reas no antihtrom
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
M5BSpecialist - psychiatry- Added
- January 1, 2012
- Last change
- January 1, 2015 – No change
- Termination date
- December 31, 2014
Frequently asked questions
What is HCPCS code G8896?
G8896 is a HCPCS Level II code for documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled). It was discontinued on December 31, 2014.
Does Medicare cover G8896?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G8888 – Most recent blood pressure not under control, results documented and reviewed
- G8889 – No documentation of blood pressure measurement, reason not given
- G8890 – Most recent ldl-c under control, results documented and reviewed
- G8891 – Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
- G8892 – Documentation of medical reason(s) for not performing ldl-c test (e.g. patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
- G8893 – Most recent ldl-c not under control, results documented and reviewed
- G8894 – Ldl-c not performed, reason not given
- G8895 – Oral aspirin or other antithrombotic therapy prescribed
- G8897 – Oral aspirin or other antithrombotic therapy was not prescribed, reason not given
- G8898 – I intend to report the chronic obstructive pulmonary disease (copd) measures group
- G8899 – I intend to report the inflammatory bowel disease (ibd) measures group
- G8900 – I intend to report the sleep apnea measures group
- G8902 – I intend to report the dementia measures group
- G8903 – I intend to report the parkinson's disease measures group
- G8904 – I intend to report the hypertension (htn) measures group
- G8905 – I intend to report the cardiovascular prevention measures group
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.