| Short Description | Waterproof tape |
| HCPCS Coverage Code | D - Special coverage instructions apply |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | January 01, 2003 |
| HCPCS Code Added Date | January 01, 2003 |
| HCPCS Pricing Indicator Code | 37 - Ostomy, tracheostomy and urological supplies (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 | L - ESRD supplies (eff 04/95) (renal supplier in the home before 04/95) |
| HCPCS Anesthesia Base Unit Quantity | 0 |
