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Try CasePilot| Short Descr | Ambulance waiting 1/2 hr | 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 | HN | Bachelors degree level | HE | Mental health program | HH | Integrated mental health/substance abuse program | HP | Doctoral level | SH | Second concurrently administered infusion therapy | HD | Pregnant/parenting women's program | 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. | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | EP | Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program | NR | New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased) | GZ | Item or service expected to be denied as not reasonable and necessary | HJ | Employee assistance program | EJ | Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab | HR | Family/couple with client present | RD | Drug provided to beneficiary, but not administered "incident-to" | GW | Service not related to the hospice patient's terminal condition | 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 | HG | Opioid addiction treatment program | HI | Integrated mental health and intellectual disability/developmental disabilities program | 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) | RR | Rental (use the 'rr' modifier when dme is to be rented) | SN | Third surgical opinion |
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| 1995-01-01 | Added | Code added 1/1/1995 |
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