HCPCS code G0458 — Ldr prostate brachy comp rat.
Status: Active.
Effective Jan 1, 2018.
Source: CMS HCPCS Level II.
G0458
ActiveLdr prostate brachy comp rat
Low dose rate (ldr) prostate brachytherapy services, composite rate
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2018
Code type:
alphanumeric
OPPS Status:
B
— Code not recognized by OPPS — billed via another route
MUE — Medically Unlikely Edits
Maximum units of G0458 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 G0458 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0471 | Modifier cannot bypass edit |
| G0500 | Modifier cannot bypass edit |
| P9612 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)