HCPCS Code L8605

Official Description

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies

Short Descr	Inj bulking agent anal canal
Coverage	Carrier Priced
Pricing Indicator(s)	38 – Supplies And Surgical Dressings - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
MPI	A – Not applicable, as HCPCS priced under one methodology
BETOS	D1F – Prosthetic/Orthotic devices
TOS Code(s)	P – Lump sum purchase of DME, prosthetics, orthotics
Added Date	1/1/2013
APC Status Indicator	Items and Services Packaged into APC Rates
ASC Payment Indicator	Packaged service/item; no separate payment made.
MUE	4
MUE	Not applicable/unspecified.
OTS Orthotic	No

GA	Waiver of liability statement issued as required by payer policy, individual case
NU	New equipment
XS	Separate structure, a service that is distinct because it was performed on a separate organ/structure