G0499 HCPCS - HEPATITIS B SCREENING IN NON-PREGNANT, HIGH RISK INDIVIDUAL INCLUDES HEPATITIS B SURFACE ANTIGEN (HBSAG), ANTIBODIES TO HBSAG (ANTI-HBS) AND ANTIBODIES TO HEPATITIS B CORE ANTIGEN (ANTI-HBC), AND IS FOLLOWED BY A NEUTRALIZING CONFIRMATORY TEST, WHEN PERFORMED, ONLY FOR AN INITIALLY REACTIVE HBSAG RESULT

Code Information

HCPCS Code: G0499
Sequence Number: 0010
Short Description: Hepb screen high risk indiv
Long Description: Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result
Date Added: 9/28/2016
Action Code: N - No maintenance for this code
Action Effective Date: 4/1/2018
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

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

Pricing Indicator Code:
- 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0499
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 b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result
HCPCS Short Description	Hepb screen high risk indiv
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 Lab Certification Code 2	220 - General immunology
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	9/28/2016
HCPCS Action Effective Date	4/1/2018
HCPCS Action Code	N - No maintenance for this code