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Official Description

External urinary catheters; disposable, with wicking material, for use with suction pump, per month
Short Descr Urinary cath disp suc pump
Coverage Carrier Priced
Pricing Indicator(s) 34 – Supplies And Surgical Dressings - DME supplies (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1E – Other DME
TOS Code(s) P – Lump sum purchase of DME, prosthetics, orthotics
Added Date 4/1/2023
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 Items and Services Packaged into APC Rates
MUE 1
MUE 1
OTS Orthotic No
KX Requirements specified in the medical policy have been met
NU New equipment
RT Right side (used to identify procedures performed on the right side of the body)
GW Service not related to the hospice patient's terminal condition
SU Procedure performed in physician's office (to denote use of facility and equipment)
Date
Action
Notes
2024-01-01 Added First appearance in codebook.
2023-04-01 Added Code added.
Code
Description
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