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Try CasePilot| Short Descr | Basic support routine suppls | 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 | 1/1/1995 | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | 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 |
| 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 | HE | Mental health program | GW | Service not related to the hospice patient's terminal condition | SH | Second concurrently administered infusion therapy | HH | Integrated mental health/substance abuse program | HR | Family/couple with client present | HN | Bachelors degree level | JE | Administered via dialysate | EJ | Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab | RR | Rental (use the 'rr' modifier when dme is to be rented) | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | NR | New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased) | 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. | QL | Patient pronounced dead after ambulance called | GR | This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy | RI | Ramus intermedius coronary artery | ED | Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle | RE | Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems) | SS | Home infusion services provided in the infusion suite of the iv therapy provider | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | CR | Catastrophe/disaster related | EE | Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle | EP | Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program | ER | Items and services furnished by a provider-based, off-campus emergency department | ET | Emergency services | GM | Multiple patients on one ambulance trip | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | HD | Pregnant/parenting women's program | HI | Integrated mental health and intellectual disability/developmental disabilities program | HJ | Employee assistance program | HP | Doctoral level | HS | Family/couple without client present | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | QJ | Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) | RD | Drug provided to beneficiary, but not administered "incident-to" | SG | Ambulatory surgical center (asc) facility service | SN | Third surgical opinion | U1 | Medicaid level of care 1, as defined by each state | 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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