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Try CasePilot| Short Descr | Basic life support mileage | 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') | Cross-Reference(s) | A0425 | BETOS | O1A – Ambulance | TOS Code(s) | D – Ambulance | Added Date | 1/1/1995 | 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 |
| HR | Family/couple with client present | HE | Mental health program | GW | Service not related to the hospice patient's terminal condition | GM | Multiple patients on one ambulance trip | 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 | HN | Bachelors degree level | HS | Family/couple without client present | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | SH | Second concurrently administered infusion therapy | UB | Medicaid level of care 11, as defined by each state |
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| 1995-01-01 | Added | Code added 1/1/1995 |
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