HCPCS A4100 Code. Nosht skin sub fda clrd nos

HCPCS Code: A4100
Long Description: Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)
Short Description: Nosht skin sub fda clrd nos

Original information is taken from A4100 page

Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage: C – Carrier judgment

Berenson-Eggers Type of Service (BETOS): P5A – Ambulatory procedures - skin
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 20220401
Code Effective Date: 20260101
Action Code: N – No maintenance for this code