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K0745 - Absorp drg >16<=48 suc pump

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Field Value
HCPCS Code: K0745
Long Description: Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches
Short Description: Absorp drg >16<=48 suc pump
Pricing Indicator 1: 34 (DME supplies (price subject to floors and ceilings))
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: D1E (Other DME)
Type of Service Code 1: S (Surgical dressings or other medical supplies (effective 04/95))
Anesthesia Base Unit Quality: 0
Code Added: 01-07-2011
Action Effective Date: 01-07-2011
Action Code: N (No maintenance for this code)