- Short DescriptionScreen pap by tech w md supv
- HCPCS Coverage CodeD = Special coverage instructions apply
- HCPCS Action CodeN = No maintenance for this code
- HCPCS Action Effective DateJan 01, 1995
- HCPCS Code Added DateJan 01, 1992
- HCPCS Pricing Indicator Code21 = Price subject to national limitation amount
- HCPCS Multiple Pricing Indicator CodeA = Not applicable as HCPCS priced under one methodology
- HCPCS Cross Reference Code
- HCPCS Type Of Service Code5
- HCPCS Anesthesia Base Unit Quantity