Table of content for "Disk/foam pad +or- adhesive" (HCPCS A5126)
General information on the “A5126” code
HCPCS Code: A5126
Long Description: Adhesive or non-adhesive; disk or foam pad
Short Description: Disk/foam pad +or- adhesive
Original information is taken from A5126 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: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19900101
Code Effective Date: 20000101
Action Code: N – No maintenance for this code