- Short DescriptionRotary wing air mileage
 - HCPCS Coverage CodeC = Carrier judgment
 - HCPCS Action CodeN = No maintenance for this code
 - HCPCS Action Effective DateJan 01, 2001
 - HCPCS Code Added DateJan 01, 2001
 - HCPCS Pricing Indicator Code52 = Reasonable charge
 - HCPCS Multiple Pricing Indicator CodeA = Not applicable as HCPCS priced under one methodology
 - HCPCS Cross Reference Code
 - HCPCS Type Of Service CodeD = Ambulance (eff 04/95)
 - HCPCS Anesthesia Base Unit Quantity
 
