A6239

Short Description

• Hydrocolld drg > 48 in w/bdr

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2009

HCPCS Code Added Date

• January 01, 1997

HCPCS Pricing Indicator Code

• 46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap – filled amounts)

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Medicare Carriers Manual Reference Section Number

• 2079

HCPCS Type Of Service Code

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

HCPCS Anesthesia Base Unit Quantity

• 0