L7510 HCPCS - REPAIR OF PROSTHETIC DEVICE, REPAIR OR REPLACE MINOR PARTS

Code Information

Pricing Indicator Code:
- 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
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:
- 2100.4
- 2130D
- 2133
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	L7510
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	Repair of prosthetic device, repair or replace minor parts
HCPCS Short Description	Prosthetic device repair rep
HCPCS Pricing Indicator Code 1	46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	2100.4
HCPCS Medicare Carriers Manual Reference Section Number 2	2130D
HCPCS Medicare Carriers Manual Reference Section Number 3	2133
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1F - Prosthetic/Orthotic devices
HCPCS Type Of Service Code 1	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/1985
HCPCS Action Effective Date	1/1/2003
HCPCS Action Code	N - No maintenance for this code