| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
K0745 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches |
| HCPCS Short Description |
Absorp drg >16<=48 suc pump |
| HCPCS Pricing Indicator Code 1 |
34 - DME supplies (price subject to floors and ceilings) |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
D1E - Other DME |
| HCPCS Type Of Service Code 1 |
S - Surgical dressings or other medical supplies (eff 04/95) |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/2011 |
| HCPCS Action Effective Date |
7/1/2011 |
| HCPCS Action Code |
N - No maintenance for this code |