2024 HCPCS Code A6454

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard

Short Description	Self-adher band w>=3" <5"/yd
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2004
HCPCS Code Added Date	January 01, 2004
HCPCS Pricing Indicator Code	35 - Surgical dressings (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	S - Surgical dressings or other medical supplies (eff 04/95)
HCPCS Anesthesia Base Unit Quantity	0