- Short DescriptionSeat/back cus no dmepdac ver
- HCPCS Coverage CodeC = Carrier judgment
- HCPCS Action CodeN = No maintenance for this code
- HCPCS Action Effective DateJul 01, 2010
- HCPCS Code Added DateJul 01, 2004
- HCPCS Pricing Indicator Code32 = Inexpensive & routinely purchased DME (price subject to floors and ceilings)
- HCPCS Multiple Pricing Indicator CodeA = Not applicable as HCPCS priced under one methodology
- HCPCS Cross Reference Code
- HCPCS Type Of Service CodeA
- HCPCS Anesthesia Base Unit Quantity