G8896 HCPCS Level II code: 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…
CMS terminated G8896: its last date of service was Dec 31, 2014. It stays here for looking up older claims; newer services need a current code.
Official description
G8896Documentation 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
HCPCS · United States
Medicare details
The indicators CMS publishes with G8896 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, 2014
Where G8896 sits
- 1G codesProcedures and professional services
- 2Terminated G8896Documentation 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)
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.
Frequently asked questions
Is HCPCS code G8896 still valid?
No. CMS terminated G8896; its last date of service was Dec 31, 2014. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G8896?
CMS lists G8896’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 G8896
All G codesG8890Most recent ldl-c under control, results documented and reviewedG8891Documentation 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…G8892Documentation 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…G8893Most recent ldl-c not under control, results documented and reviewedG8894Ldl-c not performed, reason not givenG8895Oral aspirin or other antithrombotic therapy prescribedG8897Oral aspirin or other antithrombotic therapy was not prescribed, reason not givenG8898I intend to report the chronic obstructive pulmonary disease (copd) measures groupG8899I intend to report the inflammatory bowel disease (ibd) measures groupG8900I intend to report the sleep apnea measures groupG8902I intend to report the dementia measures groupG8903I intend to report the parkinson's disease measures group