| HCPCS Code: |
Q1004 |
| Long Description: |
New technology intraocular lens category 4 as defined in federal register notice |
| Short Description: |
Ntiol category 4 |
| Pricing Indicator 1: |
57 (Other carrier priced) |
| 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: |
0086 |
| Berenson-Eggers Type of Service (BETOS) Code: |
D1F (Orthotic devices) |
| Type of Service Code 1: |
F (Ambulatory surgical center (facility usage for surgical services)) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-07-1999 |
| Action Effective Date: |
01-10-2003 |
| Action Code: |
N (No maintenance for this code) |
