A4256 HCPCS - NORMAL, LOW AND HIGH CALIBRATOR SOLUTION / CHIPS

Code Information

HCPCS Code: A4256
Sequence Number: 0010
Short Description: Calibrator solution/chips
Long Description: Normal, low and high calibrator solution / chips
Date Added: 1/1/1985
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2002
Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
Coding System: HCPCS

Pricing Indicator Code:
- 34 - DME supplies (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
- 60-11
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	A4256
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	Normal, low and high calibrator solution / chips
HCPCS Short Description	Calibrator solution/chips
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 Issues Manual Reference Section Number 1	60-11
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1E - Other DME
HCPCS Type Of Service Code 1	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/1985
HCPCS Action Effective Date	1/1/2002
HCPCS Action Code	N - No maintenance for this code