HCPCS Code Details - G9520

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9520
Description

Long description:
Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery

Short description:
Refract not +/- 1.0 w/in 90d

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 N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2020
Date added Added Jan 01, 2016
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 G9519 · Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery

  • HCPCS G8562 · Patient does not have a history of active drainage from the ear within the previous 90 days

  • HCPCS G8567 · Patient does not have verification and documentation of sudden or rapidly progressive hearing loss

  • HCPCS G9392 · Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit

  • HCPCS G9521 · Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months


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”