G9429 HCPCS - DOCUMENTATION OF MEDICAL REASON(S) FOR NOT INCLUDING PT CATEGORY AND A STATEMENT ON THICKNESS AND ULCERATION AND FOR PT1, MITOTIC RATE (E.G., NEGATIVE SKIN BIOPSIES IN A PATIENT WITH A HISTORY OF MELANOMA OR OTHER DOCUMENTED MEDICAL REASONS)

Code Information

HCPCS Code: G9429

Sequence Number: 0010

Short Description: Doc med reas no pt cat

Long Description: Documentation of medical reason(s) for not including pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)

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: Z2 - Undefined codes
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:
  • 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

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G9429
      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 Documentation of medical reason(s) for not including pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)
      HCPCS Short Description Doc med reas no pt cat
      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 Z2 - Undefined codes
      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 1/1/2015
      HCPCS Action Effective Date 1/1/2016
      HCPCS Action Code N - No maintenance for this code

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