| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0128 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes |
| HCPCS Short Description |
Corf skilled nursing service |
| HCPCS Pricing Indicator Code 1 |
99 - Value not established |
| HCPCS Multiple Pricing Indicator 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') |
| HCPCS Statute Number |
1833(a) |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Processing Note Number |
0070 |
| HCPCS Berenson-Eggers Type Of Service Code |
Y2 - Other - non-Medicare fee schedule |
| HCPCS Type Of Service Code 1 |
1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96 |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
4/1/1998 |
| HCPCS Action Effective Date |
4/1/1998 |
| HCPCS Action Code |
N - No maintenance for this code |