Summary & Overview
HCPCS G9795: Patient Not on Daily Aspirin or Other Antiplatelet
HCPCS Level II code G9795 denotes documentation that a patient is not currently taking daily aspirin or another antiplatelet agent. This code captures a medication-status element relevant to cardiovascular prevention, perioperative planning, and quality reporting. Nationally, consistent documentation of antiplatelet use or nonuse informs care coordination, risk stratification, and certain quality measure sets.
Key payers covered in this summary include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what the code represents, typical settings where it is reported, and the clinical context in which it is used. The publication outlines common modifiers and payer considerations, highlights typical service lines and sites of service, and identifies where data is not available in the input.
This summary serves clinicians, coding professionals, and health policy analysts seeking clear, national-level context for G9795—including how it fits into medication reconciliation workflows and quality documentation practices. Data not available in the input.
Billing Code Overview
HCPCS Level II code G9795 indicates that the patient is not currently on a daily aspirin or other antiplatelet. This status is a clinical registry or quality-related descriptor used to document antiplatelet therapy absence at the time of assessment.
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Service type: Medication status assessment / Antiplatelet therapy documentation
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Typical site of service: Ambulatory clinic, outpatient visit, hospital inpatient assessment, or any clinical encounter where medication reconciliation and preventive cardiology or vascular care are performed.
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Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult outpatient scheduled for a vascular, cardiology, or perioperative clinic visit where antiplatelet medication status is reviewed. The patient is a 68-year-old with a history of stable coronary artery disease and prior percutaneous coronary intervention who presents for routine follow-up prior to an elective noncardiac surgery. During medication reconciliation the clinician documents that the patient is not currently on a daily aspirin or other antiplatelet. The workflow includes medication reconciliation by nursing, confirmation by the ordering clinician, documentation in the electronic health record, and communication of current antiplatelet status to the surgical team and anesthesia. This code is used to capture the specific clinical fact that the patient is not taking daily aspirin or other antiplatelet therapy, which may influence perioperative risk stratification, antithrombotic planning, and timing of procedures. Typical sites of service are outpatient clinic, preoperative evaluation clinic, ambulatory surgical center, or hospital outpatient department.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when documentation supports substantially greater work or complexity related to the visit where antiplatelet management required significantly more effort |