| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
C9743 |
| 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 |
Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies) |
| HCPCS Short Description |
Bulking/spacer material impl |
| HCPCS Pricing Indicator Code 1 |
53 - Statute |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Statute Number |
1833(t) |
| HCPCS Cross Reference Code 1 |
0438T |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Berenson-Eggers Type Of Service Code |
P6C - Minor procedures - other (Medicare fee schedule) |
| HCPCS Type Of Service Code 1 |
2 - Surgery |
| HCPCS Type Of Service Code 2 |
F - Ambulatory surgical center (facility usage for surgical services) |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
10/1/2015 |
| HCPCS Action Effective Date |
7/1/2016 |
| HCPCS Termination Date |
6/30/2016 |
| HCPCS Action Code |
N - No maintenance for this code |