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Official Description

Enteral nutrition infusion pump - without alarm
Short Descr Enter infusion pump w/o alrm
Coverage Special coverage instructions apply
Pricing Indicator(s) 39 – Supplies And Surgical Dressings - Parenteral and Enteral Nutrition
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 65-10
MCM 2130
BETOS O1C – Enteral and parenteral
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 1/1/1988
Termination Date 12/31/2016
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
Date
Action
Notes
2017-01-01 Deleted Deleted
1988-01-01 Added Code added 1/1/1988
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