| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0476 |
| 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 |
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
| HCPCS Short Description |
Hpv combo assay ca screen |
| HCPCS Pricing Indicator Code 1 |
13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Lab Certification Code 1 |
140 - Virology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
T2D - Other tests - other |
| HCPCS Type Of Service Code 1 |
5 - Diagnostic laboratory |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/9/2015 |
| HCPCS Action Effective Date |
7/9/2015 |
| HCPCS Action Code |
N - No maintenance for this code |