| Notice | HCPCS U0004 terminated on May 11, 2023. |
| Short Description | Cov-19 test non-cdc hgh thru |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | May 12, 2023 |
| HCPCS Code Added Date | April 14, 2020 |
| HCPCS Pricing Indicator Code | 22 - Price established by carriers (e.G., gap-fills, carrier established panels) |
| 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 |
