Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Basic Information

Added: 1/1/2000
HCPCS Action Effective Date

1/1/2006

HCPCS Action Code/Description

N / No maintenance for this code

Short Description: Skin barrier solid 4x4 equiv
Long Description: Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
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 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 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 2130
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