HCPCS code G0455 — Fecal microbiota prep instil. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

G0455

Active

Fecal microbiota prep instil

Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2013
Code type: alphanumeric
OPPS Status: T — Significant procedure — subject to multiple procedure reduction
OPPS APC: 5311

MUE — Medically Unlikely Edits

Maximum units of G0455 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 G0455 without appropriate documentation.

Column 2 Code Modifier
G0463 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)