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S4981 - Insert levonorgestrel ius

Navigation: HCPCS Codes > Codes with Prefix: S4
Field Value
HCPCS Code: S4981
Long Description: Insertion of levonorgestrel-releasing intrauterine system
Short Description: Insert levonorgestrel ius
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))
Statute Number:
Coverage Code: I (Not payable by Medicare)
ASC Payment Group Code:
Processing Note Number: 0088
Berenson-Eggers Type of Service (BETOS) Code: Z2 (Undefined codes)
Type of Service Code 1: 2 (Surgery)
Anesthesia Base Unit Quality: 0
Code Added: 01-07-2001
Action Effective Date: 01-07-2001
Action Code: N (No maintenance for this code)