HCPCS code G0304 — Pre-op service lvrs 1-9 dos.
Status: Active.
Effective Jan 1, 2004.
Source: CMS HCPCS Level II.
G0304
ActivePre-op service lvrs 1-9 dos
Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2004
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5723
MUE — Medically Unlikely Edits
Maximum units of G0304 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 G0304 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0380 | Modifier may bypass edit |
| G0381 | Modifier may bypass edit |
| G0382 | Modifier may bypass edit |
| G0383 | Modifier may bypass edit |
| G0384 | Modifier may bypass edit |
| G0463 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
G0304 cannot be billed together with the following column 1 codes without appropriate documentation.
Source: CMS National Correct Coding Initiative (NCCI)