HCPCS code G0294 — Non-cov proc, clinical trial.
Status: Active.
Effective Jan 1, 2003.
Source: CMS HCPCS Level II.
G0294
ActiveNon-cov proc, clinical trial
Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a medicare qualifying clinical trial, per day
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2003
Code type:
alphanumeric
OPPS Status:
Q1
— STVX-packaged — paid standalone, packaged when billed with S, T, V, or X
OPPS APC:
5732
MUE — Medically Unlikely Edits
Maximum units of G0294 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