G9456 HCPCS - DOCUMENTATION OF MEDICAL OR PATIENT REASON(S) FOR NOT ORDERING OR PERFORMING SCREENING FOR HCC. MEDICAL REASON: COMORBID MEDICAL CONDITIONS WITH EXPECTED SURVIVAL < 5 YEARS, HEPATIC DECOMPENSATION AND NOT A CANDIDATE FOR LIVER TRANSPLANTATION, OR OTHER MEDICAL REASONS; PATIENT REASONS: PATIENT DECLINED OR OTHER PATIENT REASONS (E.G., COST OF TESTS, TIME RELATED TO ACCESSING TESTING EQUIPMENT)

Code Information

HCPCS Code: G9456
Sequence Number: 0010
Short Description: Doc med pt reas no hcc scrn
Long Description: Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)
Date Added: 1/1/2015
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2015
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

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

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	G9456
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 or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)
HCPCS Short Description	Doc med pt reas no hcc scrn
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	1/1/2015
HCPCS Action Code	N - No maintenance for this code