| Short Description | Transport port x-ray multipl | 
			
			| 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, 1998 | 
			| HCPCS Pricing Indicator Code | 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) | 
			| HCPCS Type Of Service Code | 4 - Diagnostic radiology | 
			| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology | 
			| HCPCS Anesthesia Base Unit Quantity | 0 | 
			| HCPCS Coverage Issues Manual Reference Section Number |  |