Table of content for "Hep c screen high risk/other" (HCPCS G0472)
General information on the “G0472” code
HCPCS Code: G0472
Long Description: Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
Short Description: Hep c screen high risk/other
Original information is taken from G0472 page
Pricing indicators
Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Pricing Indicator Code 2: 21 – Price subject to national limitation amount. Clinical Lab Fee Schedule
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Statute Number: 1861SSA
Lab Certification Code: 220
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Processing Note Number: 0199
Berenson-Eggers Type of Service (BETOS): P5E – Ambulatory procedures - other
Type Of Service 1: 5 – Diagnostic laboratory
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20140602
Code Effective Date: 20160101
Action Code: N – No maintenance for this code