Table of content for "Infrared ht sys replcmnt pad" (HCPCS A4639)
General information on the “A4639” code
HCPCS Code: A4639
Long Description: Replacement pad for infrared heating pad system, each
Short Description: Infrared ht sys replcmnt pad
Original information is taken from A4639 page
Pricing indicators
Pricing Indicator Code 1: 36 – Capped rental 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
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20140401
Action Code: N – No maintenance for this code