Dynamic List Information
Dynamic List Data
HCPCS Code
E0782
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: Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)