A4342

Dynamic List Information
Dynamic List Data
HCPCS Code
A4342
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: Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each