| 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) |
