| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
Q9987 |
| 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 |
Pathogen(s) test for platelets |
| HCPCS Short Description |
Pathogen test for platelets |
| HCPCS Pricing Indicator Code 1 |
57 - Other carrier priced |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Issues Manual Reference Section Number 1 |
50-34 |
| HCPCS Cross Reference Code 1 |
P9100 |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Berenson-Eggers Type Of Service Code |
T1H - Lab tests - other (non-Medicare fee schedule) |
| HCPCS Type Of Service Code 1 |
5 - Diagnostic laboratory |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/2017 |
| HCPCS Action Effective Date |
1/1/2018 |
| HCPCS Termination Date |
12/31/2017 |
| HCPCS Action Code |
D - Discontinue procedure or modifier code |