G0428 HCPCS - COLLAGEN MENISCUS IMPLANT PROCEDURE FOR FILLING MENISCAL DEFECTS (E.G., CMI, COLLAGEN SCAFFOLD, MENAFLEX)

Code Information

  • HCPCS Code: G0428
  • Sequence Number: 0010
  • Short Description: Collagen meniscus implant
  • Long Description: Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
  • Date Added: 5/25/2010
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 5/25/2010
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: P1G - Major procedure - Other
  • Type Of Service Code:
    • 2 - Surgery

Billing 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:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: M - Non-covered by Medicare

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G0428
      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 Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
      HCPCS Short Description Collagen meniscus implant
      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 Code M - Non-covered by Medicare
      HCPCS Processing Note Number 0169
      HCPCS Berenson-Eggers Type Of Service Code P1G - Major procedure - Other
      HCPCS Type Of Service Code 1 2 - Surgery
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 5/25/2010
      HCPCS Action Effective Date 5/25/2010
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024