HCPCS code G0452 — Molecular pathology interpr.
Status: Active.
Effective Jan 1, 2013.
Source: CMS HCPCS Level II.
G0452
ActiveMolecular pathology interpr
Molecular pathology procedure; physician interpretation and report
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2013
Code type:
alphanumeric
OPPS Status:
B
— Code not recognized by OPPS — billed via another route
MUE — Medically Unlikely Edits
Maximum units of G0452 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 | 6 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0452 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0327 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)