Dynamic List Information
Dynamic List Data
HCPCS Code
E0785
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: Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement