Refill kit for implantable infusion pump

Basic Information

Added: 1/1/1994
HCPCS Action Effective Date

3/3/1998

HCPCS Action Code/Description

N / No maintenance for this code

Short Description: Infusion pump refill kit
Long Description: Refill kit for implantable infusion pump
Anesthesia Base Unit Quantity

0

Processing Note Number

0050

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

D1A / Medical/surgical supplies

HCPCS Type Of Service Code #1 P
Type Of Service Cod #1 Description Lump sum purchase of DME, prosthetics, orthotics

Pricing/Coverage Information

Coverage Code D
Description Special coverage instructions apply
Pricing Indicator Code #1 57
Pricing Indicator Code #1 Description Other carrier priced
Pricing Indicator Code #1 Type Other
Multi-Pricing Indicator Code A
Description Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section #1 60-14
;