Mouth piece

A4617
HCPCS Code

A4617 is a valid 2023 HCPCS Code that could be used to indicate Mouth piece for reimbursement purposes.

A4617 belongs to Lump Sum Purchase of DME, Prosthetics, Orthotics Type of Service and has been in effect since Jan 01, 2009.

A4617 code information

HCPCS code:	A4617
Description:	MOUTH PIECE
Effective Date:	Jan 01, 2009
Added Date:	Jan 01, 1990
Termination Date:	HCPCS A4617 was terminated on Nov 30, -0001
Pricing indicator:	`00` - SERVICE NOT SEPARATELY PRICED BY PART B (E.G., SERVICES NOT COVERED, BUNDLED, USED BY PART A ONLY, ETC.) PHYSICIAN FEE SCHEDULE AND NON-PHYSICIAN PRACTITIONERS
Multi Pricing indicator:	`9` - NOT APPLICABLE AS HCPCS NOT PRICED SEPARATELY BY PART B (PRICING INDICATOR IS 00) OR VALUE IS NOT ESTABLISHED (PRICING INDICATOR IS ´99´)
HCPCS CIM:	`60-4` HCPCS COVERAGE ISSUES MANUAL REFERENCE SECTION NUMBER(S)
Coverage code:	`D` - SPECIAL COVERAGE INSTRUCTIONS APPLY
BETOS code:	`D1C` - OXYGEN AND SUPPLIES
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`P` - LUMP SUM PURCHASE OF DME, PROSTHETICS, ORTHOTICS
Anesthesia BUQ:	0