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Try CasePilot| Short Descr | Noner transport case worker | Coverage | Not payable by Medicare | Pricing Indicator(s) | 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) | MPI | 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') | BETOS | O1A – Ambulance | TOS Code(s) | D – Ambulance | Added Date | 1/1/1984 | Status Code | Not Valid for Medicare Purposes | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | MUE | 0 | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 239 - Transportation - patient, provider, equipment |
| HN | Bachelors degree level | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | HH | Integrated mental health/substance abuse program | HR | Family/couple with client present | HE | Mental health program | EP | Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program | GW | Service not related to the hospice patient's terminal condition | HJ | Employee assistance program | HP | Doctoral level | NR | New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased) | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | RD | Drug provided to beneficiary, but not administered "incident-to" | RP | Replacement and repair -rp may be used to indicate replacement of dme, orthotic and prosthetic devices which have been in use for sometime. the claim shows the code for the part, followed by the 'rp' modifier and the charge for the part. | TN | Rural/outside providers' customary service area | U2 | Medicaid level of care 2, as defined by each state | U3 | Medicaid level of care 3, as defined by each state | U8 | Medicaid level of care 8, as defined by each state |
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| 1984-01-01 | Added | Code added 1/1/1984 |
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