HCPCS Code A4490

Surgical stockings above knee length, each

Basic Information

Added:
1/1/1986
HCPCS Action Effective Date
1/1/2003
Termination Date
1/1/0001
HCPCS Action Code/Description
N / No maintenance for this code
Short Description
Above knee surgical stocking
Long Description
Surgical stockings above knee length, each
HCPCS Statute
Anesthesia Base Unit Quantity
0
Processing Note Number

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description
D1A / Medical/surgical supplies
HCPCS Type Of Service Code #1
Type Of Service Code #1 Description
Lump sum purchase of DME, prosthetics, orthotics
HCPCS Type Of Service Code #2
Type Of Service Code #2 Description
HCPCS Type Of Service Code #3
Type Of Service Code #3 Description
HCPCS Type Of Service Code #4
Type Of Service Code #4 Description

Laboratory Information

Laboratory Certification Code #1
Description
Laboratory Certification Code #2
Description
Laboratory Certification Code #3
Description
Laboratory Certification Code #4
Description
Laboratory Certification Code #5
Description
Laboratory Certification Code #6
Description
Laboratory Certification Code #7
Description
Laboratory Certification Code #8
Description

Pricing/Coverage Information

Coverage Code
M
Description
Non-covered by Medicare
ASC Payment Group Code
ASC Payment Group Effective Date
1/1/0001
Pricing Indicator Code #1
00
Pricing Indicator Code #1 Type
Pricing Indicator Code #3
Pricing Indicator Code #3 Type
Pricing Indicator Code #4
Pricing Indicator Code #4 Type
Multi-Pricing Indicator Code
9
Coverage Issues Manual Reference Section #1
60-9
Coverage Issues Manual Reference Section #2
Coverage Issues Manual Reference Section #3
Medicare Carriers Manual Reference Section #1
2079
Medicare Carriers Manual Reference Section #2
2100
Medicare Carriers Manual Reference Section #3

HCPCS Cross Reference Codes for A4490

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