G0475 HCPCS Level II code: Hiv antigen/antibody, combination assay, screening
G0475 is the HCPCS code for “Hiv antigen/antibody, combination assay, screening” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0475Hiv antigen/antibody, combination assay, screening
Short description: Hiv combination assay
HCPCS · United States
Medicare details
The indicators CMS publishes with G0475 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
- Type of service
- Diagnostic laboratory
- BETOS category
- Other tests - other
- Lab certification
- Virology; General immunology
- Added
- Apr 13, 2015
Where G0475 sits
- 1G codesProcedures and professional services
- 2Active code G0475Hiv antigen/antibody, combination assay, screening
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 G0475 mean?
G0475 is the HCPCS code for “Hiv antigen/antibody, combination assay, screening” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0475?
CMS lists G0475’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)”. 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 G0475
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