Table of content for "Pessary, disposable any type" (HCPCS A4564)
General information on the “A4564” code
HCPCS Code: A4564
Long Description: Pessary, disposable, any type
Short Description: Pessary, disposable any type
Original information is taken from A4564 page
Pricing indicators
Pricing Indicator Code 1: 46 – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240401
Code Effective Date: 20240401
Action Code: N – No maintenance for this code