| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
Q1005 |
| 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 |
New technology intraocular lens category 5 as defined in federal register notice |
| HCPCS Short Description |
Ntiol category 5 |
| HCPCS Pricing Indicator Code 1 |
57 - Other carrier priced |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Processing Note Number |
0086 |
| HCPCS Berenson-Eggers Type Of Service Code |
D1F - Prosthetic/Orthotic devices |
| HCPCS Type Of Service Code 1 |
F - Ambulatory surgical center (facility usage for surgical services) |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
7/1/1999 |
| HCPCS Action Effective Date |
10/1/2003 |
| HCPCS Action Code |
N - No maintenance for this code |