HCPCS code G0435 — Oral hiv-1/hiv-2 screen.
Status: Active.
Effective Oct 1, 2010.
Source: CMS HCPCS Level II.
G0435
ActiveOral hiv-1/hiv-2 screen
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Oct 1, 2010
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G0435 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