HCPCS Code Details - G8398

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8398
Description

Long description:
Dilated macular or fundus exam not performed

Short description:
Dil macular/fundus not perfo

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 C - Carrier judgment
BETOS2 code M5D - Specialist - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2021
Date added Added Jan 01, 2008
Termination date Dec 31, 2020
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 G8397 · Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy

  • HCPCS G8399 · Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed


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”