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Try CasePilot| Short Descr | Als routine disposble 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 |
| HH | Integrated mental health/substance abuse program | SH | Second concurrently administered infusion therapy | 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 | GW | Service not related to the hospice patient's terminal condition | HR | Family/couple with client present | HN | Bachelors degree level | RI | Ramus intermedius coronary artery | HE | Mental health program | RR | Rental (use the 'rr' modifier when dme is to be rented) | 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. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 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 | GH | Diagnostic mammogram converted from screening mammogram on same day | GM | Multiple patients on one ambulance trip | GN | Services delivered under an outpatient speech language pathology plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | HD | Pregnant/parenting women's program | HG | Opioid addiction treatment program | HI | Integrated mental health and intellectual disability/developmental disabilities program | HP | Doctoral level | JE | Administered via dialysate | NR | New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased) | PI | Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | QL | Patient pronounced dead after ambulance called | QN | Ambulance service furnished directly by a provider of services | 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. | SS | Home infusion services provided in the infusion suite of the iv therapy provider | U1 | Medicaid level of care 1, as defined by each state | U2 | Medicaid level of care 2, as defined by each state |
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| 1995-01-01 | Added | Code added 1/1/1995 |
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