- Short DescriptionSpecial med equip, noswaiver
- HCPCS Coverage CodeI = Not payable by Medicare
- HCPCS Action CodeN = No maintenance for this code
- HCPCS Action Effective DateOct 01, 2003
- HCPCS Code Added DateOct 01, 2003
- HCPCS Pricing Indicator Code00 = Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
- HCPCS Multiple Pricing Indicator Code9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is ’99’)
- HCPCS Cross Reference Code
- HCPCS Type Of Service Code9
- HCPCS Anesthesia Base Unit Quantity
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