G0455 – Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen

Long description

Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen

Short description

Fecal microbiota prep instil

Pricing indicator

13 Priced by the Medicare contractor (carrier)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

T2D Other tests - other

Added

January 1, 2013

Last change

January 1, 2013 – No change

Nearby G codes

• G0445 – High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
• G0446 – Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
• G0447 – Face-to-face behavioral counseling for obesity, 15 minutes
• G0448 – Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing
• G0451 – Development testing, with interpretation and report, per standardized instrument form
• G0452 – Molecular pathology procedure; physician interpretation and report
• G0453 – Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
• G0454 – Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist
• G0456 – Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area less than or equal to 50 square centimeters
• G0457 – Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area greater than 50 square centimeters
• G0458 – Low dose rate (ldr) prostate brachytherapy services, composite rate
• G0459 – Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
• G0460 – Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment
• G0461 – Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain
• G0462 – Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)
• G0463 – Hospital outpatient clinic visit for assessment and management of a patient