MC130

The value that defines the type of Procedure Code expected in MC055:

1 = CPT or HCPCS Level 1 Code
2 = HCPCS Level II Code
3 = HCPCS Level III Code (state Medicare code)
4 = American Dental Association (ADA) Procedure Code (also referred to as CDT code)
5 = CPT Category II
8 = Unknown (provide explanation describing why the code types are unknown prior to submission)
9 = None of the Above