Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
A5056 |
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 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
HCPCS Short Description |
1 pc ost pouch w filter |
HCPCS Pricing Indicator Code 1 |
37 - Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings) |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Medicare Carriers Manual Reference Section Number 1 |
2130 |
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 |
1/1/2012 |
HCPCS Action Effective Date |
1/1/2012 |
HCPCS Action Code |
N - No maintenance for this code |