HCPCS Q4028 Code. Cast sup hip spica ped fbrgl

HCPCS Code: Q4028
Long Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass
Short Description: Cast sup hip spica ped fbrgl

Original information is taken from Q4028 page

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

Coverage: C – Carrier judgment

Berenson-Eggers Type of Service (BETOS): D1A – Medical/surgical supplies
Type Of Service 1: S – Surgical dressings or other medical supplies (eff 04/95)

Anesthesia Base Unit Quantity: 0
Code Added Date: 20010701
Code Effective Date: 20141001
Action Code: N – No maintenance for this code