| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G0431 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter |
| HCPCS Short Description |
Drug screen multiple class |
| HCPCS Pricing Indicator Code 1 |
13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
| HCPCS Pricing Indicator Code 2 |
21 - Price subject to national limitation amount |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Lab Certification Code 1 |
340 - Toxicology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
T1H - Lab tests - other (non-Medicare fee schedule) |
| HCPCS Type Of Service Code 1 |
5 - Diagnostic laboratory |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2010 |
| HCPCS Action Effective Date |
1/1/2016 |
| HCPCS Termination Date |
12/31/2015 |
| HCPCS Action Code |
N - No maintenance for this code |