Dynamic List Information
Dynamic List Data
HCPCS Code
E0786
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 programmable infusion pump, replacement (excludes implantable intraspinal catheter)