HCPCS Code Details - G0426

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G0426
Description

Long description:
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth

Short description:
Inpt/ed teleconsult50

HCPCS Modifier1
HCPCS Pricing indicator 13 - Clinical Lab Fee Schedule - Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code M6 - Consultations
HCPCS Action code N - No maintenance for this code
Type of service 3 - Consultation
Effective date Effective Jan 01, 2012
Date added Added Jan 01, 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 G0425 · Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth

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


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”