E0247

Short Description

• Trans bench w/wo comm open

HCPCS Coverage Code

• D = Special coverage instructions apply

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

• 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)

HCPCS Multiple Pricing Indicator Code

• 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is ’99’)

HCPCS Coverage Issues Manual Reference Section Number

• 60-9

HCPCS Type Of Service Code

• A = Used durable medical equipment (DME)P = Lump sum purchase of DME, prosthetics, orthotics R = Rental of DME

HCPCS Anesthesia Base Unit Quantity

• 0