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A4627 - Spacer bag/reservoir

Navigation: HCPCS Codes > Codes with Prefix: A4
Field Value
HCPCS Code: A4627
Long Description: Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler
Short Description: Spacer bag/reservoir
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))
MCM Reference Section Number 1: 2100
Statute Number:
Coverage Code: M (Non-covered by Medicare)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1A (Medical/surgical supplies)
Type of Service Code 1: 9 (Other medical items or services)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1991
Action Effective Date: 01-01-1997
Action Code: N (No maintenance for this code)