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Try CasePilot| Short Descr | Additive for enteral formula | Coverage | Special coverage instructions apply | 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') | CIM | 65-10 | BETOS | O1C – Enteral and parenteral | TOS Code(s) | E – Enteral/parenteral nutrients/supplies | Added Date | 1/1/2005 | APC Status Indicator | Non-Covered Service, not paid under OPPS | MUE | 0 | MUE | 0 | IOM | 100-03, 3, 180.2 | OTS Orthotic | No | CCS Clinical Classification | 223 - Enteral and parenteral nutrition |
| KX | Requirements specified in the medical policy have been met | 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 | BO | Orally administered nutrition, not by feeding tube | GA | Waiver of liability statement issued as required by payer policy, individual case | CR | Catastrophe/disaster related | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2005-01-01 | Added | Code added 1/1/2005 |
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