G8601 HCPCS - IV THROMBOLYTIC THERAPY NOT INITIATED WITHIN 4.5 HOURS (<= 270 MINUTES) OF TIME LAST KNOWN WELL FOR REASONS DOCUMENTED BY CLINICIAN (E.G. PATIENT ENROLLED IN CLINICAL TRIAL FOR STROKE, PATIENT ADMITTED FOR ELECTIVE CAROTID INTERVENTION)

Code Information

HCPCS Code: G8601
Sequence Number: 0010
Short Description: No elig tpa init w/in 4.5 hr
Long Description: Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)
Date Added: 1/1/2010
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2024
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: M5D - Specialist - other
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
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	G8601
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	Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)
HCPCS Short Description	No elig tpa init w/in 4.5 hr
HCPCS Pricing Indicator Code 1	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	M5D - Specialist - other
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2010
HCPCS Action Effective Date	1/1/2024
HCPCS Action Code	N - No maintenance for this code