HCPCS Level IIsuppliesActive
A4620
Variable concentration mask
BETOS: D1C
Effective: 2009-01-01
Referenced in 2 policies
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies
This code is referenced in 2 Medicare coverage policies
Sample Policies
ANTHEM-CG-DME-18PayerPolicy