G0457 HCPCS - NEGATIVE PRESSURE WOUND THERAPY, (E.G. VACUUM ASSISTED DRAINAGE COLLECTION) USING A MECHANICALLY-POWERED DEVICE, NOT DURABLE MEDICAL EQUIPMENT, INCLUDING PROVISION OF CARTRIDGE AND DRESSING(S), TOPICAL APPLICATION(S), WOUND ASSESSMENT, AND INSTRUCTIONS FOR ONGOING CARE, PER SESSION; TOTAL WOUNDS(S) SURFACE AREA GREATER THAN 50 SQUARE CENTIMETERS

Code Information

HCPCS Code: G0457
Sequence Number: 0010
Short Description: Neg pres wound >50 sq cm
Long Description: Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area greater than 50 square centimeters
Date Added: 1/1/2013
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2015
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: P6A - Minor procedures - skin
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0457
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	Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area greater than 50 square centimeters
HCPCS Short Description	Neg pres wound >50 sq cm
HCPCS Pricing Indicator Code 1	13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Code	C - Carrier judgment
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	1/1/2013
HCPCS Action Effective Date	1/1/2015
HCPCS Termination Date	12/31/2014
HCPCS Action Code	N - No maintenance for this code