G9020 HCPCS - RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT)

Code Information

  • HCPCS Code: G9020
  • Sequence Number: 0010
  • Short Description: Rimantadine hcl 100mg oral
  • Long Description: Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
  • Date Added: 12/1/2004
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2020
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: O1E - Other drugs
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • 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

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G9020
      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 Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
      HCPCS Short Description Rimantadine hcl 100mg oral
      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 Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code O1E - Other drugs
      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 12/1/2004
      HCPCS Action Effective Date 1/1/2020
      HCPCS Termination Date 12/31/2019
      HCPCS Action Code N - No maintenance for this code

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