- Short DescriptionMirragen adv wnd mat per sq
- HCPCS Coverage CodeC = Carrier judgment
- HCPCS Action CodeN = No maintenance for this code
- HCPCS Action Effective DateJan 01, 2022
- HCPCS Code Added DateJan 01, 2022
- HCPCS Pricing Indicator Code13 = Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
- HCPCS Multiple Pricing Indicator CodeA = Not applicable as HCPCS priced under one methodology
- HCPCS Cross Reference Code
- HCPCS Type Of Service Code1
- HCPCS Anesthesia Base Unit Quantity
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