| 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 |