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S4025 - Donor serv ivf case rate

Navigation: HCPCS Codes > Codes with Prefix: S4
Field Value
HCPCS Code: S4025
Long Description: Donor services for in vitro fertilization (sperm or embryo), case rate
Short Description: Donor serv ivf case rate
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: 0088
Berenson-Eggers Type of Service (BETOS) Code: Z2 (Undefined codes)
Type of Service Code 1: 9 (Other medical items or services)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2002
Action Effective Date: 01-01-2002
Action Code: N (No maintenance for this code)