Table of content for "App non-sheet skin sb g addl" (HCPCS G0684)
General information on the “G0684” code
HCPCS Code: G0684
Long Description: Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
Short Description: App non-sheet skin sb g addl
Original information is taken from G0684 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.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): P5A – Ambulatory procedures - skin
Type Of Service 1: 2 – Surgery
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20260401
Code Effective Date: 20260401
Action Code: A – Add procedure or modifier code