| HCPCS Code: |
G8968 |
| Long Description: |
Documentation of medical reason(s) for not prescribing warfarin or another oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g. patients with mitral stenosis or prosthetic heart valves, patients with transient or reversible causes of af (e.g., pneumonia or hyperthyroidism), postoperative patients, patients who are pregnant, allergy, risk of bleeding, other medical reasons) |
| Short Description: |
Md rsn no pres wrfrn or othr |
| Pricing Indicator 1: |
00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)) |
| Multiple Pricing Code: |
9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99)) |
| Statute Number: |
|
| Coverage Code: |
C (Carrier judgment) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
M5B (Specialist - psychiatry) |
| Type of Service Code 1: |
1 (Medical care) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2013 |
| Action Effective Date: |
01-01-2014 |
| Action Code: |
C (Change in long description of procedure or modifier code) |
