C5271

Short Description

• Low cost skin substitute app

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2014

HCPCS Code Added Date

• January 01, 2014

HCPCS Pricing Indicator Code

• 53 = Statute

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Statute Number

• 1833(t)

HCPCS ASC Payment Group Code

• YY

HCPCS ASC Payment Group Effective Date

• January 01, 2014

HCPCS Type Of Service Code

• 2 = SurgeryF = Ambulatory surgical center (facility usage for surgical services)

HCPCS Anesthesia Base Unit Quantity

• 0