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G8697 HCPCS Level II code: Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other…

CMS terminated G8697: its last date of service was Dec 31, 2017. It stays here for looking up older claims; newer services need a current code.

Official description

G8697

Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))

Short description: Antithromb no presc doc reas

HCPCS · United States

Medicare details

The indicators CMS publishes with G8697 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
Type of service
Medical care
BETOS category
Specialist - psychiatry
Added
Jan 1, 2012
Terminated after
Dec 31, 2017

Where G8697 sits

  1. 1G codesProcedures and professional services
  2. 2Terminated G8697Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See G8697 in the CMS source

Frequently asked questions

Is HCPCS code G8697 still valid?

No. CMS terminated G8697; its last date of service was Dec 31, 2017. It is listed for looking up services from before then. Use a current code for newer services.

Does Medicare cover G8697?

CMS lists G8697’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

Codes beside G8697

G8674Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the…G8682Lvf testing documented as being performed prior to discharge or in the previous 12 monthsG8683Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reasonG8685Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not givenG8694Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsdG8696Antithrombotic therapy prescribed at dischargeG8698Antithrombotic therapy was not prescribed at discharge, reason not givenG8699Rehabilitation services (occupational, physical or speech) ordered at or prior to dischargeG8700Rehabilitation services (occupational, physical or speech) not indicated at or prior to dischargeG8701Rehabilitation services were not ordered, reason not otherwise specifiedG8702Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperativelyG8703Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively