HCPCS Code Details - G0428

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G0428
Description

Long description:
Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)

Short description:
Collagen meniscus implant

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code M - Non-covered by Medicare
BETOS2 code P1G - Major procedure - Other
HCPCS Action code N - No maintenance for this code
Type of service 2 - Surgery
Effective date Effective May 25, 2010
Date added Added May 25, 2010
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G0427 · Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth

  • HCPCS G0429 · Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”