HCPCS code G0471 — Ven blood coll snf/hha.
Status: Active.
Effective Apr 1, 2014.
Source: CMS HCPCS Level II.
G0471
ActiveVen blood coll snf/hha
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Apr 1, 2014
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G0471 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 | 2 |
| Practitioner Services | 2 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0471 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0463 | Modifier may bypass edit |
| J0670 | Modifier may bypass edit |
| P9612 | Modifier cannot bypass edit |
| P9615 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
G0471 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| C9600 | Modifier may bypass edit |
| C9601 | Modifier may bypass edit |
| C9602 | Modifier may bypass edit |
| C9603 | Modifier may bypass edit |
| C9604 | Modifier may bypass edit |
| C9605 | Modifier may bypass edit |
| C9606 | Modifier may bypass edit |
| C9607 | Modifier may bypass edit |
| C9608 | Modifier may bypass edit |
| C9738 | Modifier cannot bypass edit |
| C9739 | Modifier cannot bypass edit |
| C9740 | Modifier cannot bypass edit |
| C9761 | Modifier cannot bypass edit |
| C9778 | Modifier cannot bypass edit |
| C9796 | Modifier may bypass edit |
| C9797 | Modifier may bypass edit |
| C9901 | Modifier may bypass edit |
| G0104 | Modifier may bypass edit |
| G0105 | Modifier may bypass edit |
| G0121 | Modifier may bypass edit |
| G0127 | Modifier may bypass edit |
| G0168 | Modifier may bypass edit |
| G0259 | Modifier may bypass edit |
| G0260 | Modifier may bypass edit |
| G0268 | Modifier may bypass edit |
| G0339 | Modifier cannot bypass edit |
| G0340 | Modifier cannot bypass edit |
| G0341 | Modifier may bypass edit |
| G0342 | Modifier may bypass edit |
| G0343 | Modifier may bypass edit |
| G0412 | Modifier may bypass edit |
| G0413 | Modifier may bypass edit |
| G0414 | Modifier may bypass edit |
| G0415 | Modifier may bypass edit |
| G0422 | Modifier may bypass edit |
| G0423 | Modifier may bypass edit |
| G0428 | Modifier may bypass edit |
| G0429 | Modifier may bypass edit |
| G0448 | Modifier may bypass edit |
| G0458 | Modifier cannot bypass edit |
| G0491 | Modifier may bypass edit |
| G0492 | Modifier may bypass edit |
| M0224 | Modifier may bypass edit |
| Q2043 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)