2025 HCPCS Code A4680

Activated carbon filter for hemodialysis, each

TAGS: carbon filter activated
Short DescriptionActivated carbon filter, ea
Product Note0017
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date January 01, 1986
HCPCS Action Effective Date January 01, 2015
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 L - ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
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 55-1

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