HCPCS Code A9900

Official Description

Miscellaneous dme supply, accessory, and/or service component of another hcpcs code

Short Descr	Supply/accessory/service
Coverage	Carrier Priced
Pricing Indicator(s)	46 – Supplies And Surgical Dressings - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
MPI	A – Not applicable, as HCPCS priced under one methodology
BETOS	D1E – Other DME
TOS Code(s)	9 – Other medical items or services
Added Date	1/1/2000
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-Implantable Durable Medical Equipment
MUE	1
MUE	Not applicable/unspecified.
OTS Orthotic	No
CCS Clinical Classification	243 - DME and supplies

CG	Policy criteria applied
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
NU	New equipment
GA	Waiver of liability statement issued as required by payer policy, individual case
KX	Requirements specified in the medical policy have been met
N1	Group 1 oxygen coverage criteria met
GZ	Item or service expected to be denied as not reasonable and necessary
CR	Catastrophe/disaster related
UB	Medicaid level of care 11, as defined by each state
GX	Notice of liability issued, voluntary under payer policy
RR	Rental (use the 'rr' modifier when dme is to be rented)
LT	Left side (used to identify procedures performed on the left side of the body)
22	Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
52	Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
CC	Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
EY	No physician or other licensed health care provider order for this item or service
GP	Services delivered under an outpatient physical therapy plan of care
GW	Service not related to the hospice patient's terminal condition
KU	Dmepos item subject to dmepos competitive bidding program number 3
N3	Group 3 oxygen coverage criteria met
RB	Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
RT	Right side (used to identify procedures performed on the right side of the body)
SG	Ambulatory surgical center (asc) facility service