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G0389 - Ultrasound exam aaa screen

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Field Value
HCPCS Code: G0389
Long Description: Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening
Short Description: Ultrasound exam aaa screen
Pricing Indicator 1: 13 (Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number: 0134
Berenson-Eggers Type of Service (BETOS) Code: I3B (Echography - abdomen/pelvis)
Type of Service Code 1: 4 (Diagnostic radiology)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2007
Action Effective Date: 01-01-2007
Action Code: N (No maintenance for this code)