| HCPCS Code: |
B4087 |
| Long Description: |
Gastrostomy/jejunostomy tube, standard, any material, any type, each |
| Short Description: |
Gastro/jejuno tube, std |
| Pricing Indicator 1: |
39 (Parenteral and Enteral Nutrition) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
C (Carrier judgment) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
O1C (Enteral and parenteral) |
| Type of Service Code 1: |
E (Enteral/parenteral nutrients/supplies (effective 04/95)) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2008 |
| Action Effective Date: |
01-01-2008 |
| Action Code: |
N (No maintenance for this code) |
