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L4380 - Pneumatic knee splint

Navigation: HCPCS Codes > Codes with Prefix: L4
Field Value
HCPCS Code: L4380
Long Description: Pneumatic knee splint, prefabricated, includes fitting and adjustment
Short Description: Pneumatic knee splint
Pricing Indicator 1: 38 (Orthotics, prosthetics, prosthetic devices & vision services (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: D1F (Orthotic devices)
Type of Service Code 1: P (Lump sum purchase of DME, prosthetics, orthotics)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1989
Action Effective Date: 01-01-2012
Termination Date: 31-12-2011
Action Code: N (No maintenance for this code)