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Q0114 - Fern test

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Field Value
HCPCS Code: Q0114
Long Description: Fern test
Short Description: Fern test
Pricing Indicator 1: 21 (Price subject to national limitation amount)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Lab Certification Code 1: 310 (Routine chemistry)
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: T1H (Lab tests - other (non-Medicare fee schedule))
Type of Service Code 1: 5 (Diagnostic laboratory)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1994
Action Effective Date: 01-01-1994
Action Code: N (No maintenance for this code)