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L4210 - Orth dev repair/repl minor p

Navigation: HCPCS Codes > Codes with Prefix: L4
Field Value
HCPCS Code: L4210
Long Description: Repair of orthotic device, repair or replace minor parts
Short Description: Orth dev repair/repl minor p
Pricing Indicator 1: 46 (Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
MCM Reference Section Number 1: 2133
MCM Reference Section Number 2: 2100.4
MCM Reference Section Number 3: 2130D
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1F (Orthotic devices)
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: 01-01-1996
Action Code: N (No maintenance for this code)