| HCPCS Code: |
G0400 |
| Long Description: |
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels |
| Short Description: |
Home sleep test/type 4 porta |
| 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: |
C (Carrier judgment) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
T2D (Other tests - other) |
| Type of Service Code 1: |
5 (Diagnostic laboratory) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
13-03-2008 |
| Action Effective Date: |
13-03-2008 |
| Action Code: |
N (No maintenance for this code) |
