Table of content for "Ortho dvc repair per 15 min" (HCPCS L4205)
General information on the “L4205” code
HCPCS Code: L4205
Long Description: Repair of orthotic device, labor component, per 15 minutes
Short Description: Ortho dvc repair per 15 min
Original information is taken from L4205 page
Pricing indicators
Pricing Indicator Code 1: 46 – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts). 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: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19970101
Code Effective Date: 19970101
Action Code: N – No maintenance for this code