HCPCS code G0428 — Collagen meniscus implant.
Status: Active.
Effective May 25, 2010.
Source: CMS HCPCS Level II.
G0428
ActiveCollagen meniscus implant
Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
May 25, 2010
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of G0428 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 | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0428 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0471 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)