E0463 HCPCS Code Dates, Status, Action
Possible status values:
- Actual
Actual HCPCS Code - Discontinued
Discontinued HCPCS Code
The year the HCPCS code was added to the Healthcare common procedure coding system.
The date that a record was last updated or changed.
Effective date of action to a procedure or modifier code
Last date for which a procedure or modifier code may be used by Medicare providers.
A code denoting the change made to a procedure or modifier code within the HCPCS system.
Action Code Description
The base unit represents the level of intensity for anesthesia procedure services that reflects all activities except time. These activities include usual preoperative and post-operative visits, the administration of fluids and/or blood incident to anesthesia care, and monitering procedures. (Note: the payment amount for anesthesia services is based on a calculation using base unit, time units, and the conversion factor.)
Number identifying the processing note contained in Appendix A of the HCPCS manual.
This field is valid beginning with 2003 data. The Berenson-Eggers Type of Service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services.
Berenson-Eggers Type Of Service Code Description
E0463 HCPCS Code Manual Reference Section Numbers
Number identifying the reference section of the coverage issues manual.
Number identifying the reference section of the coverage issues manual.
Number identifying the reference section of the coverage issues manual.
Number identifying a section of the Medicare carriers manual.
Number identifying a section of the Medicare carriers manual.
Number identifying a section of the Medicare carriers manual.
Number identifying statute reference for coverage or noncoverage of procedure or service.
E0463 HCPCS Code Lab Certifications
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #1
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #2
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #3
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #4
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #5
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #6
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #7
Code used to classify laboratory procedures according to the specialty certification categories listed by CMS. Any generally certified laboratory (e.g., 100) may perform any of the tests in its subgroups (e.g., 110, 120, etc.).
Description of HCPCS Lab Certification Code #8
E0463 HCPCS Code Cross Reference Codes
An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes).
Description of HCPCS Cross Reference Code #1
An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes).
Description of HCPCS Cross Reference Code #2
An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes).
Description of HCPCS Cross Reference Code #3
An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes).
Description of HCPCS Cross Reference Code #4
An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes).
Description of HCPCS Cross Reference Code #5
E0463 HCPCS Code Coverage, Payment Groups, Payment Policy Indicators
A code denoting Medicare coverage status.
Coverage Code Description
The 'YY' indicator represents that this procedure is approved to be performed in an ambulatory surgical center. You must access the ASC tables on the mainframe or CMS website to get the dollar amounts.
The date the procedure is assigned to the ASC payment group.
Medicare outpatient groups (MOG) payment group code
HCPCS MOG payment group code.
1St digit indicates the body system
2nd digit is sequential numbering within the body system
3rd digit is the level of intensity where:
'1', '2', '3' or '4' represents levels
for a given group type
'0' and '9' represent single level
for a given group type
Indicator identifying whether a HCPCS code is subject to payment of an ASC facility fee, to a separate fee under another provision of Medicare, or to no fee at all.
Description of HCPCS MOG Payment Policy Indicator
The date the procedure is assigned to the Medicare outpatient group (MOG) payment group.
E0463 HCPCS Code Type Of Service Codes
The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.
Description of HCPCS Type Of Service Code #1
The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.
Description of HCPCS Type Of Service Code #2
The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.
Description of HCPCS Type Of Service Code #3
The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.
Description of HCPCS Type Of Service Code #4
The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.
Description of HCPCS Type Of Service Code #5
