Table of content for "Skyla 13.5mg" (HCPCS Q0090)
General information on the “Q0090” code
HCPCS Code: Q0090
Long Description: Levonorgestrel-releasing intrauterine contraceptive system, (skyla), 13.5 mg
Short Description: Skyla 13.5mg
Original information is taken from Q0090 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
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')
Certification and additional reference information
Statute Number: 1862a1
Cross Reference Code 1: J7301 ;
Coverage
Coverage: S – Non-covered by Medicare statute
Type of service
Berenson-Eggers Type of Service (BETOS): P6C – Minor procedures - other (Medicare fee schedule)
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20130701
Code Effective Date: 20140101
Termination Date: 20131231
Action Code: N – No maintenance for this code