Table of content for "Dil macula/fundus exam/w doc" (HCPCS G8397)
General information on the “G8397” code
HCPCS Code: G8397
Long Description: Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
Short Description: Dil macula/fundus exam/w doc
Original information is taken from G8397 page
Pricing indicators
Pricing Indicator Code 1: 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')
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): M5D – Specialist - other
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20080101
Code Effective Date: 20080101
Action Code: N – No maintenance for this code