K0455 HCPCS - INFUSION PUMP USED FOR UNINTERRUPTED PARENTERAL ADMINISTRATION OF MEDICATION, (E.G., EPOPROSTENOL OR TREPROSTINOL)

Code Information

HCPCS Code: K0455
Sequence Number: 0010
Short Description: Pump uninterrupted infusion
Long Description: Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)
Date Added: 1/1/1998
Action Code: N - No maintenance for this code
Action Effective Date: 7/1/2003
Classification: Temporary Codes for Durable Medical Equipment Regional Carriers
Coding System: HCPCS

Pricing Indicator Code:
- 31 - Frequently serviced DME (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:
- 60-14
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	K0455
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	Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)
HCPCS Short Description	Pump uninterrupted infusion
HCPCS Pricing Indicator Code 1	31 - Frequently serviced DME (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	60-14
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1E - Other DME
HCPCS Type Of Service Code 1	R - Rental of DME
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/1998
HCPCS Action Effective Date	7/1/2003
HCPCS Action Code	N - No maintenance for this code