G6030 HCPCS - AMITRIPTYLINE

Code Information

HCPCS Code: G6030

Sequence Number: 0010

Short Description: Assay of amitriptyline

Long Description: Amitriptyline

Code Added Date: 1/1/2015

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2016

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 G6030
      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 Amitriptyline
      HCPCS Short Description Assay of amitriptyline
      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 Lab Certification Code 1 340 - Toxicology
      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 1/1/2015
      HCPCS Action Effective Date 1/1/2016
      HCPCS Termination Date 12/31/2015
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018