HCPCS Code Details - G0464

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G0464
Description

Long description:
Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)

Short description:
Colorec ca scr, sto bas dna

HCPCS Modifier1
HCPCS Pricing indicator 21 - Price subject to national limitation amount
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code T1H - Lab tests - other (non-Medicare fee schedule)
HCPCS Action code N - No maintenance for this code
Type of service 5 - Diagnostic laboratory
Effective date Effective Jan 01, 2016
Date added Added Oct 09, 2014
Termination date Dec 31, 2015
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 G0463 · Hospital outpatient clinic visit for assessment and management of a patient

  • HCPCS G0104 · Colorectal cancer screening; flexible sigmoidoscopy

  • HCPCS G0105 · Colorectal cancer screening; colonoscopy on individual at high risk

  • HCPCS G0106 · Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema

  • HCPCS G0120 · Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.

  • HCPCS G0121 · Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

  • HCPCS G0122 · Colorectal cancer screening; barium enema

  • HCPCS G0327 · Colorectal cancer screening; blood-based biomarker

  • HCPCS G0328 · Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

  • HCPCS G0465 · Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)


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”