Table of content for "Pump uninterrupted infusion" (HCPCS K0455)
General information on the “K0455” code
HCPCS Code: K0455
Long Description: Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)
Short Description: Pump uninterrupted infusion
Original information is taken from K0455 page
Pricing indicators
Pricing Indicator Code 1: 31 – Frequently serviced DME (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 Issues Manual Reference Section Number 1: 60-14
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19980101
Code Effective Date: 20030701
Action Code: N – No maintenance for this code