A6455

Short Description

• Self-adher band >=5″/yd

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2004

HCPCS Code Added Date

• January 01, 2004

HCPCS Pricing Indicator Code

• 35 = Surgical dressings (price subject to floors and ceilings)

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Type Of Service Code

• S = Surgical dressings or other medical supplies (eff 04/95)

HCPCS Anesthesia Base Unit Quantity

• 0