G0464 HCPCS Level II code: Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)

CMS terminated G0464: its last date of service was Dec 31, 2015. It stays here for looking up older claims; newer services need a current code.

Official description

G0464

Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)

Short description: Colorec ca scr, sto bas dna

HCPCS · United States

Medicare details

The indicators CMS publishes with G0464 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
Clinical lab fee schedule – Price subject to national limitation amount
Type of service
Diagnostic laboratory
BETOS category
Lab tests - other (Non-Medicare fee schedule)
Lab certification
General immunology; Routine chemistry; Clinical cytogenetics
Cross-reference
See 81528
Added
Oct 9, 2014
Terminated after
Dec 31, 2015

Where G0464 sits

  1. 1G codesProcedures and professional services
  2. 2Terminated G0464Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)

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

Is HCPCS code G0464 still valid?

No. CMS terminated G0464; its last date of service was Dec 31, 2015. It is listed for looking up services from before then. Use a current code for newer services.

Does Medicare cover G0464?

CMS lists G0464’s Medicare coverage as “Carrier judgment” and its pricing as “Clinical lab fee schedule – Price subject to national limitation amount”. 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.

G0458Low dose rate (ldr) prostate brachytherapy services, composite rateG0459Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapyG0460Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other…G0461Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stainG0462Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)G0463Hospital outpatient clinic visit for assessment and management of a patientG0465Autologous platelet rich plasma (prp) or other blood-derived product for diabetic chronic wounds/ulcers, using an fda-cleared device for this indication, (includes as applicable…G0466Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which…G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc…G0468Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and…G0469Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a…G0470Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an…