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A4256 - Calibrator solution/chips

Navigation: HCPCS Codes > Codes with Prefix: A4
Field Value
HCPCS Code: A4256
Long Description: Normal, low and high calibrator solution / chips
Short Description: Calibrator solution/chips
Pricing Indicator 1: 34 (DME supplies (price subject to floors and ceilings))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Coverage Issues Manual 1: 60-11
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1E (Other DME)
Type of Service Code 1: P (Lump sum purchase of DME, prosthetics, orthotics)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1985
Action Effective Date: 01-01-2002
Action Code: N (No maintenance for this code)