HCPCS code G0276 — Pild/placebo control clin tr.
Status: Active.
Effective Jan 1, 2015.
Source: CMS HCPCS Level II.
G0276
ActivePild/placebo control clin tr
Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2015
Code type:
alphanumeric
OPPS Status:
J1
— Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC:
5114
MUE — Medically Unlikely Edits
Maximum units of G0276 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0276 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0453 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)