G0478 HCPCS - DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES; ANY NUMBER OF DEVICES OR PROCEDURES, (E.G., IMMUNOASSAY) READ BY INSTRUMENT-ASSISTED DIRECT OPTICAL OBSERVATION (E.G., DIPSTICKS, CUPS, CARDS, CARTRIDGES), INCLUDES SAMPLE VALIDATION WHEN PERFORMED, PER DATE OF SERVICE

Code Information

  • HCPCS Code: G0478
  • Sequence Number: 0010
  • Short Description: Drug test presump opt inst
  • Long Description: Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) read by instrument-assisted direct optical observation (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service
  • Date Added: 1/1/2016
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2017
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: T1H - Lab tests - other (non-Medicare fee schedule)
  • Type Of Service Code:
    • 5 - Diagnostic laboratory

Billing Information

  • Pricing Indicator Code:
    • 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: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G0478
      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 Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) read by instrument-assisted direct optical observation (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service
      HCPCS Short Description Drug test presump opt inst
      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 Cross Reference Code 1 80306
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code T1H - Lab tests - other (non-Medicare fee schedule)
      HCPCS Type Of Service Code 1 5 - Diagnostic laboratory
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2016
      HCPCS Action Effective Date 1/1/2017
      HCPCS Termination Date 12/31/2016
      HCPCS Action Code N - No maintenance for this code

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