HCPCS Code Section: HCPCS G Codes

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

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

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

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

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

Barbiturates, not elsewhere specified Short Description: Assay of barbiturates Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, …

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: …