{
"HCPCS": {
"HCPC": "G0682",
"LongDescription": "Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)",
"ShortDescription": "App non-sheet skin sub add",
"PricingIndicators": {
"PricingIndicator": {
"PricingIndicatorName": "13",
"PricingIndicatorCode": "Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule."
}
},
"MPI": "A",
"MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
"CIMs": null,
"MCMs": "",
"Statute": null,
"LabCertifications": null,
"XReferences": null,
"Coverage": "C",
"CoverageDescription": "Carrier judgment",
"ASCPayGrp": null,
"ASCPayGrpEffDate": null,
"MOGPayGrp": null,
"MOGPaymentGroupCode": null,
"MOGPayInd": null,
"MOGPaymentPolicyIndicator": null,
"MOGEffDate": null,
"ProcNote": null,
"BETOS": "P5A",
"BETOSDescription": "Ambulatory procedures - skin",
"TypeOfServices": {
"TypeOfService": {
"TOS": "2",
"TypeOfServiceCode": "Surgery"
}
},
"AnestBaseUnits": "0",
"CodeAddDate": "20260401",
"ActionEffDate": "20260401",
"TermDate": null,
"ActionCode": "A",
"ActionCodeDescription": "Add procedure or modifier code"
}
}