G0294 Non-cov procedure, clinical trial
Also known as: uncovered procedure trial, non-covered procedure research
Non-covered procedure performed in the context of a clinical trial where standard Medicare coverage does not apply but is permitted for research purposes.
In Plain Language
experimental procedure in study
Clinical Context
Used for investigational non-surgical procedures in approved clinical trials. Allows Medicare reimbursement for procedures not otherwise covered.
RVU Information
CPT G0294 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G0294?
CPT G0294 (Non-cov procedure, clinical trial) is a G Codes code. Non-covered procedure performed in the context of a clinical trial where standard Medicare coverage does not apply but is permitted for research purposes.
Who uses CPT code G0294?
CPT G0294 is used by Clinical Research. Used for investigational non-surgical procedures in approved clinical trials. Allows Medicare reimbursement for procedures not otherwise covered.
When is CPT G0294 used?
Used for investigational non-surgical procedures in approved clinical trials. Allows Medicare reimbursement for procedures not otherwise covered.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.