G0219 HCPCS - PET IMAGING WHOLE BODY; MELANOMA FOR NON-COVERED INDICATIONS

Code Information

Pricing Indicator Code:
- 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
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')
Coverage Issues Manual Reference Section Number:
- 50-36
Medicare Carriers Manual Reference Section Number:
- 4173
Coverage Code: M - Non-covered by Medicare

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0219
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	Pet imaging whole body; melanoma for non-covered indications
HCPCS Short Description	Pet img wholbod melano nonco
HCPCS Pricing Indicator Code 1	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
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 Coverage Issues Manual Reference Section Number 1	50-36
HCPCS Medicare Carriers Manual Reference Section Number 1	4173
HCPCS Coverage Code	M - Non-covered by Medicare
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	7/1/2001
HCPCS Action Effective Date	7/1/2001
HCPCS Action Code	N - No maintenance for this code