HCPCS code G0472 — Hep c screen high risk/other.
Status: Active.
Effective Jan 1, 2016.
Source: CMS HCPCS Level II.
G0472
ActiveHep c screen high risk/other
Hepatitis c antibody screening, for individual at high risk and other covered indication(s)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2016
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G0472 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