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    HCPCS Details

    HCPC S0164
    Short Description Injection pantroprazole
    Long Description Injection, pantoprazole sodium, 40 mg
    Pricing indicator 00
    Coverage code I
    ASC payment group code
    BETOS2 code Z2
    Action code N
    Type of service 9
    Effective date 2004-04-01
    Date Added 2004-04-01