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Try CasePilot| Short Descr | Puraply, puraply antimic | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | Cross-Reference(s) | Q4172 | BETOS | O1E – Other drugs | TOS Code(s) | 9 – Other medical items or services | Added Date | 1/1/2015 | Termination Date | 12/31/2016 | APC Status Indicator | Pass-Through Drugs and Biologicals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2017-01-01 | Deleted | Code deleted, see Q4172. |
| 2015-07-01 | Changed | This code was effective Jan 1, 2015. The trade name for the product has been changed from "Fortaderm" to "PuraPly" effective July 1, 2015. |
| 2015-01-01 | Added | Added |
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