G0130 HCPCS - SINGLE ENERGY X-RAY ABSORPTIOMETRY (SEXA) BONE DENSITY STUDY, ONE OR MORE SITES; APPENDICULAR SKELETON (PERIPHERAL) (E.G., RADIUS, WRIST, HEEL)

Code Information

HCPCS Code: G0130
Sequence Number: 0010
Short Description: Single energy x-ray study
Long Description: Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)
Date Added: 7/1/1998
Action Code: N - No maintenance for this code
Action Effective Date: 7/1/1998
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Pricing Indicator Code:
- 11 - Price established using national rvu's
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
- 50-44
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: D - Special coverage instructions apply
ASC Payment Group Effective Date: 1/1/2008

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