Table of content for "Xcellistem, 1 mg" (HCPCS A2004)
General information on the “A2004” code
HCPCS Code: A2004
Long Description: Xcellistem, 1 mg
Short Description: Xcellistem, 1 mg
Original information is taken from A2004 page
Pricing indicators
Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
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): P5A – Ambulatory procedures - skin
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20220101
Code Effective Date: 20220101
Action Code: N – No maintenance for this code