Sterile water/saline, 500 ml

Basic Information

Added: 1/1/2004
HCPCS Action Effective Date

1/1/2004

HCPCS Action Code/Description

N / No maintenance for this code

Short Description: Sterile water/saline, 500 ml
Long Description: Sterile water/saline, 500 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 #1 1
Type Of Service Cod #1 Description Medical care
HCPCS Type Of Service Code #2 L
Type Of Service Cod #2 Description ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
HCPCS Type Of Service Code #3 P
Type Of Service Cod #3 Description Lump sum purchase of DME, prosthetics, orthotics

Pricing/Coverage Information

Coverage Code D
Description Special coverage instructions apply
Pricing Indicator Code #1 37
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 Code A
Description Not applicable as HCPCS priced under one methodology
Medicare Carriers Manual Reference Section #1 2049
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