Table of content for "Cast sup gauntlet ped fbrgls" (HCPCS Q4016)
General information on the “Q4016” code
HCPCS Code: Q4016
Long Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
Short Description: Cast sup gauntlet ped fbrgls
Original information is taken from Q4016 page
Pricing indicators
Pricing Indicator Code 1: 55 – Splints and Casts (effec 10/1/2014)
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: 20010701
Code Effective Date: 20141001
Action Code: N – No maintenance for this code