G0365 HCPCS - VESSEL MAPPING OF VESSELS FOR HEMODIALYSIS ACCESS (SERVICES FOR PREOPERATIVE VESSEL MAPPING PRIOR TO CREATION OF HEMODIALYSIS ACCESS USING AN AUTOGENOUS HEMODIALYSIS CONDUIT, INCLUDING ARTERIAL INFLOW AND VENOUS OUTFLOW)

Code Information

HCPCS Code: G0365
Sequence Number: 0010
Short Description: Vessel mapping hemo access
Long Description: Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)
Date Added: 1/1/2005
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2020
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: P9A - Dialysis services (medicare fee schedule)
Type Of Service Code:
- 5 - Diagnostic laboratory

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:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0365
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	Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)
HCPCS Short Description	Vessel mapping hemo access
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 Berenson-Eggers Type Of Service Code	P9A - Dialysis services (medicare fee schedule)
HCPCS Type Of Service Code 1	5 - Diagnostic laboratory
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2005
HCPCS Action Effective Date	1/1/2020
HCPCS Termination Date	12/31/2019
HCPCS Action Code	N - No maintenance for this code