Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
G0404 |
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 |
Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination |
HCPCS Short Description |
Ekg tracing for initial prev |
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 Code |
C - Carrier judgment |
HCPCS Processing Note Number |
0153 |
HCPCS Berenson-Eggers Type Of Service Code |
T2C - Other tests - EKG monitoring |
HCPCS Type Of Service Code 1 |
5 - Diagnostic laboratory |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/2009 |
HCPCS Action Effective Date |
1/1/2009 |
HCPCS Action Code |
N - No maintenance for this code |