HCPCS Code Details - G9538

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9538
Description

Long description:
Advanced brain imaging (cta, ct, mra or mri) was ordered

Short description:
Adv brain image ordered

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 D - Discontinue procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 2016
Termination date Dec 31, 2018
HCPCS Coding Procedures
  HCPCS Code G9538 has been discontinued effective Jan 01, 2019.

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 G9537 · Documentation of system reason(s) for obtaining imaging of the head (ct or mri) (i.e., needed as part of a clinical trial; other clinician ordered the study)

  • HCPCS G9534 · Advanced brain imaging (cta, ct, mra or mri) was not ordered

  • HCPCS G9539 · Intent for potential removal at time of placement


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”