Table of content for "Adhesion barrier" (HCPCS C1765)
General information on the “C1765” code
HCPCS Code: C1765
Long Description: Adhesion barrier
Short Description: Adhesion barrier
Original information is taken from C1765 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
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): D1A – Medical/surgical supplies
Type Of Service 1: 9 – Other medical items or services
Type Of Service 2: S – Surgical dressings or other medical supplies (eff 04/95)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20010701
Code Effective Date: 20010701
Action Code: N – No maintenance for this code