Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

G0471 - G0476 Temporary Procedures/Professional Services - Other Miscellaneous Services

G0471

Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)

short

Ven blood coll snf/hha

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	3 Date of Service Edit: Clinical	Clinical: Data
OPH	2.0	3 Date of Service Edit: Clinical	Clinical: Data

G0472

Hepatitis c antibody screening, for individual at high risk and other covered indication(s)

short

Hep c screen high risk/other

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Nature of Analyte
OPH	1.0	2 Date of Service Edit: Policy	Nature of Analyte

G0473

Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes

short

Group behave couns 2-10

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.23	0.09	0.12	0.01	0.33	0.36	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	3 Date of Service Edit: Clinical	Clinical: Data
OPH	1.0	3 Date of Service Edit: Clinical	Clinical: Data

G0475

Hiv antigen/antibody, combination assay, screening

short

Hiv combination assay

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	CMS Policy
OPH	1.0	2 Date of Service Edit: Policy	CMS Policy

G0476

Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test

short

Hpv combo assay ca screen

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	CMS Policy
OPH	1.0	2 Date of Service Edit: Policy	CMS Policy