G0455 Insurance Policy Changes

HCPCS G0455 is officially defined as "Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen." HCPCS G0455 is referenced in 2 tracked payer policy changes from Harvard Pilgrim Health Care and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0455 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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All billing codesJ35909921399214992129920299203

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