Question 1

What is HCPCS code G2128?

Accepted Answer

HCPCS code G2128 is "No aspirin med rsn". Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed, blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)

Question 2

What category is G2128 in?

Accepted Answer

G2128 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2128?

Accepted Answer

Use G2128 when billing for no aspirin med rsn. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G2128 covered by Medicare?

Accepted Answer

Coverage for G2128 (No aspirin med rsn) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G2128?

Accepted Answer

Documentation for G2128 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).