Table of content for "Endoform dermal template" (HCPCS C9367)
General information on the “C9367” code
HCPCS Code: C9367
Long Description: Skin substitute, endoform dermal template, per square centimeter
Short Description: Endoform dermal template
Original information is taken from C9367 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Statute Number: 1833(t)(6)
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Processing Note Number: 0093
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20100701
Code Effective Date: 20130101
Termination Date: 20121231
Action Code: N – No maintenance for this code