G8968 HCPCS Level II Code: Documentation of medical reason(s) for not prescribing an FDA-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical…

Contextual Map

Every relationship of G8968 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (40)

• G8947 — One or more neuropsychiatric symptoms[Sibling]— CMS HCPCS Level II code set
• G8948 — No neuropsychiatric symptoms[Sibling]— CMS HCPCS Level II code set
• G8949 — Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)[Sibling]— CMS HCPCS Level II code set
• G8950 — Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented[Sibling]— CMS HCPCS Level II code set
• G8951 — Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible[Sibling]— CMS HCPCS Level II code set
• G8952 — Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given[Sibling]— CMS HCPCS Level II code set
• G8953 — All quality actions for the applicable measures in the oncology measures group have been performed for this patient[Sibling]— CMS HCPCS Level II code set
• G8955 — Most recent assessment of adequacy of volume management documented[Sibling]— CMS HCPCS Level II code set
• and 32 more

Change history

• January 1, 2013 — Added to the code set [Change history]— CMS release files (code change ledger)

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, descriptors, coverage and pricing attributes Official source data

CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page

Change history and date-of-service validity Official source data

CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page

Comparisons, relationships and the contextual map MedCoder structured relationship

Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears

Summary and FAQ answers MedCoder explanation

Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G8968 in its code family, with their registry titles.

• G8963 — Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years
• G8964 — Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since…
• G8965 — Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment
• G8966 — Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment
• G8967 — Fda approved oral anticoagulant is prescribed
• G8969 — Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)
• G8970 — No risk factors or one moderate risk factor for thromboembolism
• G8971 — Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given
• G8972 — One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism
• G8973 — Most recent hemoglobin (hgb) level < 10 g/dl