A2017

Short Description

• Permeaderm glove, each

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• October 01, 2022

HCPCS Code Added Date

• October 01, 2022

HCPCS Pricing Indicator Code

• 13 = Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Type Of Service Code

• 1 = Medical care

HCPCS Anesthesia Base Unit Quantity

• 0