HCPCS code G0476 — Hpv combo assay ca screen.
Status: Active.
Effective Jul 9, 2015.
Source: CMS HCPCS Level II.
G0476
ActiveHpv combo assay ca screen
Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jul 9, 2015
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G0476 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 — Reverse Direction
G0476 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)