A4255

Short Description

• Glucose monitor platforms

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2002

HCPCS Code Added Date

• January 01, 1997

HCPCS Pricing Indicator Code

• 34 = DME supplies(price subject to floors and ceilings)

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Coverage Issues Manual Reference Section Number

• 60-11

HCPCS Type Of Service Code

• P = Lump sum purchase of DME, prosthetics, orthotics

HCPCS Anesthesia Base Unit Quantity

• 0