Table of content for "Self-adher band w <3"/yd" (HCPCS A6453)
General information on the “A6453” code
HCPCS Code: A6453
Long Description: Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
Short Description: Self-adher band w <3"/yd
Original information is taken from A6453 page
Pricing indicators
Pricing Indicator Code 1: 35 – Surgical dressings (price subject to floors and ceilings). 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): D1A – Medical/surgical supplies
Type Of Service 1: S – Surgical dressings or other medical supplies (eff 04/95)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20040101
Code Effective Date: 20040101
Action Code: N – No maintenance for this code