Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
A4216 |
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 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
HCPCS Short Description |
Sterile water/saline, 10 ml |
HCPCS Pricing Indicator Code 1 |
37 - Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings) |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Medicare Carriers Manual Reference Section Number 1 |
2049 |
HCPCS Coverage Code |
D - Special coverage instructions apply |
HCPCS Berenson-Eggers Type Of Service Code |
D1F - Prosthetic/Orthotic devices |
HCPCS Type Of Service Code 1 |
1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96 |
HCPCS Type Of Service Code 2 |
L - ESRD supplies (eff 04/95) (renal supplier in the home before 04/95) |
HCPCS Type Of Service Code 3 |
P - Lump sum purchase of DME, prosthetics, orthotics |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/2004 |
HCPCS Action Effective Date |
1/1/2007 |
HCPCS Action Code |
N - No maintenance for this code |