| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
C9800 |
| 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 |
Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies |
| HCPCS Short Description |
Dermal filler inj px/suppl |
| 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 |
G0429 |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Processing Note Number |
0093 |
| HCPCS Berenson-Eggers Type Of Service Code |
P6A - Minor procedures - skin |
| HCPCS Type Of Service Code 1 |
1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96 |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/2010 |
| HCPCS Action Effective Date |
1/1/2017 |
| HCPCS Termination Date |
12/31/2016 |
| HCPCS Action Code |
N - No maintenance for this code |