2024 HCPCS Code G0400

Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels

Short Description	Home sleep test/type 4 porta
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	March 13, 2008
HCPCS Code Added Date	March 13, 2008
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	5 - Diagnostic laboratory
HCPCS Anesthesia Base Unit Quantity	0