Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
G0492 |
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 |
Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without esrd |
HCPCS Short Description |
Md/oth eval acut kid no esrd |
HCPCS Pricing Indicator Code 1 |
13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Coverage Code |
C - Carrier judgment |
HCPCS Berenson-Eggers Type Of Service Code |
P9A - Dialysis services (medicare fee schedule) |
HCPCS Type Of Service Code 1 |
1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96 |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/2017 |
HCPCS Action Effective Date |
1/1/2017 |
HCPCS Action Code |
N - No maintenance for this code |