G9467 HCPCS - PATIENT WHO HAVE RECEIVED OR ARE RECEIVING CORTICOSTEROIDS GREATER THAN OR EQUAL TO 10 MG/DAY OF PREDNISONE EQUIVALENTS FOR 60 OR GREATER CONSECUTIVE DAYS OR A SINGLE PRESCRIPTION EQUATING TO 600 MG PREDNISONE OR GREATER FOR ALL FILLS WITHIN THE LAST TWELVE MONTHS

Code Information

HCPCS Code: G9467
Sequence Number: 0010
Short Description: Recd cortico >=10mg/day >60d
Long Description: Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve months
Date Added: 1/1/2015
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2017
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	G9467
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	Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve months
HCPCS Short Description	Recd cortico >=10mg/day >60d
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	1/1/2017
HCPCS Termination Date	12/31/2016
HCPCS Action Code	N - No maintenance for this code