2025 HCPCS Code A4490

Surgical stockings above knee length, each

TAGS: above surgical stockings
Short DescriptionAbove knee surgical stocking
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code M - Non-covered by Medicare
HCPCS Code Added Date January 01, 1986
HCPCS Action Effective Date January 01, 2003
HCPCS Pricing Indicator Code 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Type Of Service Code P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 60-9

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