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Try CasePilot| Short Descr | Parenteral infus pump portab | 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 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 1 | IOM | 100-02, 15, 120 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| RR | Rental (use the 'rr' modifier when dme is to be rented) | KH | Dmepos item, initial claim, purchase or first month rental | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen | KI | Dmepos item, second or third month rental | 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 | KX | Requirements specified in the medical policy have been met | MS | Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty | BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | BR | The beneficiary has been informed of the purchase and rental options and has elected to rent the item | BU | The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision | GA | Waiver of liability statement issued as required by payer policy, individual case | GZ | Item or service expected to be denied as not reasonable and necessary | HJ | Employee assistance program | HK | Specialized mental health programs for high-risk populations | NU | New equipment | UE | Used durable medical equipment |
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| 1988-01-01 | Added | Code added 1/1/1988 |
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