Dynamic List Information
Dynamic List Data
HCPCS Code
E0781
On Master List?
Yes
Prior Authorization Required?
No
PA Effective Dates
N/A
F2F and Written Order Prior to Delivery?
No
F2F and WOPD Effective Dates
N/A
Description: Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient