HCPCS code G0343 — Laparotomy islet cell transp.
Status: Active.
Effective Oct 1, 2004.
Source: CMS HCPCS Level II.
G0343
ActiveLaparotomy islet cell transp
Laparotomy for islet cell transplant, includes portal vein catheterization and infusion
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Oct 1, 2004
Code type:
alphanumeric
OPPS Status:
C
— Inpatient procedures — not paid under OPPS
MUE — Medically Unlikely Edits
Maximum units of G0343 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 G0343 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0341 | Modifier cannot bypass edit |
| G0342 | Modifier cannot bypass edit |
| G0463 | Modifier may bypass edit |
| G0471 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)