| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
S2067 |
| 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 |
Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral |
| HCPCS Short Description |
Breast stacked diep/gap |
| HCPCS Pricing Indicator Code 1 |
00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
| HCPCS Multiple Pricing Indicator Code |
9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
| HCPCS Coverage Code |
I - Not payable by Medicare |
| HCPCS Berenson-Eggers Type Of Service Code |
Z2 - Undefined codes |
| HCPCS Type Of Service Code 1 |
2 - Surgery |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/2007 |
| HCPCS Action Effective Date |
7/1/2007 |
| HCPCS Action Code |
N - No maintenance for this code |