2024 HCPCS Code G0455

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

Short Description	Fecal microbiota prep instil
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2013
HCPCS Code Added Date	January 01, 2013
HCPCS Pricing Indicator Code	13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	1 - Medical care
HCPCS Anesthesia Base Unit Quantity	0