| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0130 |
| 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 |
Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) |
| HCPCS Short Description |
Single energy x-ray study |
| HCPCS Pricing Indicator Code 1 |
11 - Price established using national rvu's |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Issues Manual Reference Section Number 1 |
50-44 |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS ASC Payment Group Code |
YY |
| HCPCS ASC Payment Group Effective Date |
1/1/2008 |
| HCPCS Berenson-Eggers Type Of Service Code |
I4B - Imaging/procedure - other |
| HCPCS Type Of Service Code 1 |
4 - Diagnostic radiology |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/1998 |
| HCPCS Action Effective Date |
7/1/1998 |
| HCPCS Action Code |
N - No maintenance for this code |