- Short DescriptionFoam dressing wound filler
- HCPCS Coverage CodeD = Special coverage instructions apply
- HCPCS Action CodeN = No maintenance for this code
- HCPCS Action Effective DateJan 01, 2009
- HCPCS Code Added DateJan 01, 1997
- HCPCS Pricing Indicator Code46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
- HCPCS Multiple Pricing Indicator CodeA = Not applicable as HCPCS priced under one methodology
- HCPCS Cross Reference Code
- HCPCS Type Of Service CodeL
- HCPCS Anesthesia Base Unit Quantity