Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each

Basic Information

Added:1/1/2003
HCPCS Action Effective Date

1/1/2006

HCPCS Action Code/Description

N / No maintenance for this code

Short Description:Ost skn barr convex <=4 sq i
Long Description:Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

D1F / Prosthetic/Orthotic devices

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 #12130