| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0306 |
| 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 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
| HCPCS Short Description |
Cbc/diffwbc w/o platelet |
| HCPCS Pricing Indicator Code 1 |
21 - Price subject to national limitation amount |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Lab Certification Code 1 |
400 - Hematology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
T1D - Lab tests - blood counts |
| HCPCS Type Of Service Code 1 |
5 - Diagnostic laboratory |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2004 |
| HCPCS Action Effective Date |
1/1/2009 |
| HCPCS Action Code |
N - No maintenance for this code |