HCPCS Code Section: HCPCS G Codes

Injection procedure for sacroiliac joint; arthrography Short Description: Inject for sacroiliac joint Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility Short Description: Unsched dialysis esrd pt hos …

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary Short Description: Dispense fee initial 30 day Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the …

Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of …

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Short Description: Fecal blood scrn immunoassay Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Short Description: Cbc without platelet Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Short Description: Cbc/diffwbc w/o platelet Coverage Code: Carrier judgment Action Code: No maintenance for …

Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services Short Description: Post op service lvrs min 6 Coverage Code: Carrier judgment Action Code: No maintenance for …

Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services Short Description: Pre-op service lvrs 1-9 dos Coverage Code: Carrier judgment Action Code: No maintenance …