| HCPCS Code: |
P9604 |
| Long Description: |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. |
| Short Description: |
One-way allow prorated trip |
| Pricing Indicator 1: |
22 (Price established by carriers (e.G. gap-fills, carrier established panels)) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| MCM Reference Section Number 1: |
51141K |
| Statute Number: |
|
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
0039 |
| Berenson-Eggers Type of Service (BETOS) Code: |
Y2 (Other - non-Medicare fee schedule) |
| Type of Service Code 1: |
5 (Diagnostic laboratory) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-1987 |
| Action Effective Date: |
01-01-1992 |
| Action Code: |
N (No maintenance for this code) |
