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HCPCS Details
| HCPC | S0194 |
| Short Description | Vitamin suppl 100 caps |
| Long Description | Dialysis/stress vitamin supplement, oral, 100 capsules |
| 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 |