Table of content for "Waterproof tape" (HCPCS A4452)
General information on the “A4452” code
HCPCS Code: A4452
Long Description: Tape, waterproof, per 18 square inches
Short Description: Waterproof tape
Original information is taken from A4452 page
Pricing indicators
Pricing Indicator Code 1: 37 – Ostomy, tracheostomy and urological supplies (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
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: L – ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20030101
Action Code: N – No maintenance for this code