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S3625 - Maternal triple screen test

Navigation: HCPCS Codes > Codes with Prefix: S3
Field Value
HCPCS Code: S3625
Long Description: Maternal serum triple marker screen including alpha-fetoprotein (afp), estriol, and human chorionic gonadotropin (hcg)
Short Description: Maternal triple screen test
Pricing Indicator 1: 00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.))
Multiple Pricing Code: 9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99))
Statute Number:
Coverage Code: I (Not payable by Medicare)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: Z2 (Undefined codes)
Type of Service Code 1: 9 (Other medical items or services)
Anesthesia Base Unit Quality: 0
Code Added: 01-07-2003
Action Effective Date: 01-01-2014
Termination Date: 31-12-2013
Action Code: D (Discontinue procedure or modifier code)