How To Use HCPCS Code G8598

HCPCS code G8598 describes the use of aspirin or another antiplatelet therapy. In this article, we will explore the official description, procedure, when to use this code, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G8598?

HCPCS code G8598 is used to identify the use of aspirin or another antiplatelet therapy. This code is specifically used to indicate that the patient has received this type of therapy as part of their medical care.

2. Official Description

The official description for HCPCS code G8598 is “Aspirin or another antiplatelet therapy used.” The short description for this code is “Asa/antiplat ther used.”

3. Procedure

1. The provider will assess the patient’s medical condition and determine if the use of aspirin or another antiplatelet therapy is appropriate.
2. If it is determined that the patient would benefit from this therapy, the provider will prescribe the appropriate dosage and frequency.
3. The patient will then be instructed on how to take the medication, including any specific instructions or precautions.
4. The provider may also monitor the patient’s response to the therapy and make any necessary adjustments to the dosage or frequency.

4. When to use HCPCS code G8598

HCPCS code G8598 should be used when the patient has been prescribed and is receiving aspirin or another antiplatelet therapy as part of their medical care. It is important to accurately document the use of this therapy in the patient’s medical records.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8598, healthcare providers should ensure that the following documentation is included:

• Documentation of the patient’s medical condition and the need for aspirin or another antiplatelet therapy.
• Prescription or order for the therapy, including the dosage and frequency.
• Documentation of any monitoring or adjustments made to the therapy.

Providers should also follow the appropriate billing guidelines and submit the necessary claims to ensure proper reimbursement for the service.

6. Historical Information and Code Maintenance

HCPCS code G8598 was added to the Healthcare Common Procedure Coding System on January 01, 2010. As of January 01, 2017, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

The coverage for HCPCS code G8598 is determined by the carrier judgment, as indicated by the coverage code C. This means that the coverage for this code may vary depending on the specific insurance carrier or Medicare guidelines.

The pricing indicator code for HCPCS code G8598 is 00, which indicates that the service is not separately priced by Part B. This means that the service may be bundled or not covered by Medicare or other insurers.

The multiple pricing indicator code for HCPCS code G8598 is 9, which indicates that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code G8598 should be billed:

1. A patient with a history of cardiovascular disease is prescribed aspirin as part of their ongoing treatment plan.
2. A patient who has undergone a coronary artery bypass graft surgery is prescribed an antiplatelet therapy to prevent blood clots.
3. A patient with a recent stroke is prescribed an antiplatelet therapy to reduce the risk of future strokes.
4. A patient with peripheral artery disease is prescribed an antiplatelet therapy to improve blood flow and prevent complications.
5. A patient with a high risk of developing blood clots is prescribed an antiplatelet therapy as a preventive measure.