Sterile water, saline and/or dextrose, diluent/flush, 10 ml

Basic Information

Added:1/1/2004
HCPCS Action Effective Date

1/1/2007

HCPCS Action Code/Description

N / No maintenance for this code

Short Description:Sterile water/saline, 10 ml
Long Description:Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

D1F / Prosthetic/Orthotic devices

HCPCS Type Of Service Code #2L
Type Of Service Cod #2 Description ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
HCPCS Type Of Service Code #3P
Type Of Service Cod #3 Description Lump sum purchase of DME, prosthetics, orthotics

Pricing/Coverage Information

Coverage CodeD
Description Special coverage instructions apply
Pricing Indicator Code #137
Pricing Indicator Code #1 Description Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Pricing Indicator Code #1 Type Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multi-Pricing Indicator CodeA
Description Not applicable as HCPCS priced under one methodology
Medicare Carriers Manual Reference Section #12049