HCPCS Code Details - G9431

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9431
Description

Long description:
Pathology report does not include the pt category and a statement on thickness, ulceration and mitotic rate

Short description:
Patho rpt no pt ctg

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 Z2 - Undefined codes
HCPCS Action code C - Change in long description of procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 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 G9430 · Specimen site other than anatomic cutaneous location

  • HCPCS G9293 · Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate

  • HCPCS G9432 · Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented


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”