Dynamic List Information
Dynamic List Data
HCPCS Code
K0455
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 used for uninterrupted parenteral administration of medication, (for example, epoprostenol or treprostinol)