HCPCS code G0405 — Ekg interpret & report preve.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
G0405
ActiveEkg interpret & report preve
Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2009
Code type:
alphanumeric
OPPS Status:
B
— Code not recognized by OPPS — billed via another route
MUE — Medically Unlikely Edits
Maximum units of G0405 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 — Reverse Direction
G0405 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0403 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)