| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
Q4082 |
| 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 |
Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) |
| HCPCS Short Description |
Drug/bio noc part b drug cap |
| HCPCS Pricing Indicator Code 1 |
51 - Drugs |
| 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 |
D1E - Other DME |
| HCPCS Type Of Service Code 1 |
1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96 |
| HCPCS Type Of Service Code 2 |
L - ESRD supplies (eff 04/95) (renal supplier in the home before 04/95) |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2007 |
| HCPCS Action Effective Date |
1/1/2007 |
| HCPCS Action Code |
N - No maintenance for this code |