G0683 : HCPCS Code (2026) : JSON

G0683 : Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children ( App of non-sheet skin sub g )

HCPCS Code : G0683 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "G0683",
    "LongDescription": "Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children",
    "ShortDescription": "App of non-sheet skin sub g",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "13",
        "PricingIndicatorCode": "Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule."
      }
    },
    "MPI": "A",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
    "CIMs": null,
    "MCMs": "",
    "Statute": null,
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "C",
    "CoverageDescription": "Carrier judgment",
    "ASCPayGrp": null,
    "ASCPayGrpEffDate": null,
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "P5A",
    "BETOSDescription": "Ambulatory procedures - skin",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "2",
        "TypeOfServiceCode": "Surgery"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20260401",
    "ActionEffDate": "20260401",
    "TermDate": null,
    "ActionCode": "A",
    "ActionCodeDescription": "Add procedure or modifier code"
  }
}