| HCPCS Code: |
Q4022 |
| Long Description: |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
| Short Description: |
Cast sup sht arm splint fbrg |
| Pricing Indicator 1: |
52 (Reasonable charge) |
| 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: |
D1A (Medical/surgical supplies) |
| Type of Service Code 1: |
S (Surgical dressings or other medical supplies (effective 04/95)) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-07-2001 |
| Action Effective Date: |
01-07-2001 |
| Action Code: |
N (No maintenance for this code) |
