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S0126 - Inj follitropin alfa 75 iu

Navigation: HCPCS Codes > Codes with Prefix: S0
Field Value
HCPCS Code: S0126
Long Description: Injection, follitropin alfa, 75 iu
Short Description: Inj follitropin alfa 75 iu
Pricing Indicator 1: 00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.))
Multiple Pricing Code: 9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99))
Statute Number:
Coverage Code: I (Not payable by Medicare)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: Z2 (Undefined codes)
Type of Service Code 1: 1 (Medical care)
Type of Service Code 2: P (Lump sum purchase of DME, prosthetics, orthotics)
Anesthesia Base Unit Quality: 0
Code Added: 01-04-2002
Action Effective Date: 01-04-2002
Action Code: N (No maintenance for this code)