G0428 HCPCS Level II code: Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
G0428 is the HCPCS code for “Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0428Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
Short description: Collagen meniscus implant
HCPCS · United States
Notes for G0428
As CMS prints them, with any note G0428 takes from the headings above it.
Note
- CMS processing note 0169: SERVICE IS NON-COVERED BY NCD 150.12.
Medicare details
The indicators CMS publishes with G0428 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Non-covered by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Surgery
- BETOS category
- Major procedure - other
- Added
- May 25, 2010
Where G0428 sits
- 1G codesProcedures and professional services
- 2Active code G0428Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0428 mean?
G0428 is the HCPCS code for “Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0428?
CMS lists G0428’s Medicare coverage as “Non-covered by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0428
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