| HCPCS Code: |
K0742 |
| Long Description: |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit, for cluster headaches, for initial months supply or to replace used contents |
| Short Description: |
Portable gaseous oxygen |
| Pricing Indicator 1: |
33 (Oxygen and oxygen equipment (price subject to floors and ceilings)) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
0176 |
| Berenson-Eggers Type of Service (BETOS) Code: |
D1C (Oxygen and supplies) |
| Type of Service Code 1: |
P (Lump sum purchase of DME, prosthetics, orthotics) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-07-2011 |
| Action Effective Date: |
01-01-2013 |
| Termination Date: |
31-12-2012 |
| Action Code: |
N (No maintenance for this code) |
