HCPCS Code Section: HCPCS G Codes

Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev Short Description: Radiation treatment delivery Coverage Code: …

Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Short Description: …

Amphetamine or methamphetamine Short Description: Assay of amphetamines Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 …

Alkaloids, urine, quantitative Short Description: Assay of urine alkaloids Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, …

Alcohol (ethanol); any specimen except breath Short Description: Assay of ethanol Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: …

Acetaminophen Short Description: Assay of acetaminophen Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 Termination Date: …

Salicylate Short Description: Assay of salicylate Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 Termination Date: …

Nortriptyline Short Description: Assay of nortiptyline Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 Termination Date: …

Assay of imipramine Short Description: Assay of imipramine Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 …

Flurazepam Short Description: Assay of flurazepam Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 Termination Date: …