Table of content for "Parenteral infus pump portab" (HCPCS B9004)
General information on the “B9004” code
HCPCS Code: B9004
Long Description: Parenteral nutrition infusion pump, portable
Short Description: Parenteral infus pump portab
Original information is taken from B9004 page
Pricing indicators
Pricing Indicator Code 1: 39 – Parenteral and Enteral Nutrition. 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 Issues Manual Reference Section Number 1: 65-10
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1C – Enteral and parenteral
Type Of Service 1: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19880101
Code Effective Date: 20020101
Action Code: N – No maintenance for this code