G0472 HCPCS - HEPATITIS C ANTIBODY SCREENING, FOR INDIVIDUAL AT HIGH RISK AND OTHER COVERED INDICATION(S)

Code Information

HCPCS Code: G0472
Sequence Number: 0010
Short Description: Hep c screen high risk/other
Long Description: Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
Date Added: 6/2/2014
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2016
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Pricing Indicator Code:
- 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
- 21 - Price subject to national limitation amount
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: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0472
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	Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
HCPCS Short Description	Hep c screen high risk/other
HCPCS Pricing Indicator Code 1	13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Pricing Indicator Code 2	21 - Price subject to national limitation amount
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Statute Number	1861SSA
HCPCS Lab Certification Code 1	220 - General immunology
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Processing Note Number	0199
HCPCS Berenson-Eggers Type Of Service Code	P5E - Ambulatory procedures - other
HCPCS Type Of Service Code 1	5 - Diagnostic laboratory
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	6/2/2014
HCPCS Action Effective Date	1/1/2016
HCPCS Action Code	N - No maintenance for this code