A4495 HCPCS - SURGICAL STOCKINGS THIGH LENGTH, EACH

Code Information

  • HCPCS Code: A4495
  • Sequence Number: 0010
  • Short Description: Thigh length surg stocking
  • Long Description: Surgical stockings thigh length, each
  • Date Added: 1/1/1986
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2003
  • Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: D1A - Medical/surgical supplies
  • Type Of Service Code:
    • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • 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')
  • Coverage Issues Manual Reference Section Number:
    • 60-9
  • Medicare Carriers Manual Reference Section Number:
    • 2079
    • 2100
  • Coverage Code: M - Non-covered by Medicare

HCPCS Record

Field Name Field Value
Healthcare Common Procedure Coding System Code A4495
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 Surgical stockings thigh length, each
HCPCS Short Description Thigh length surg stocking
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 Issues Manual Reference Section Number 1 60-9
HCPCS Medicare Carriers Manual Reference Section Number 1 2079
HCPCS Medicare Carriers Manual Reference Section Number 2 2100
HCPCS Coverage Code M - Non-covered by Medicare
HCPCS Berenson-Eggers Type Of Service Code D1A - Medical/surgical supplies
HCPCS Type Of Service Code 1 P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Code Added Date 1/1/1986
HCPCS Action Effective Date 1/1/2003
HCPCS Action Code N - No maintenance for this code

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This page was last updated on: 7/1/2024