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Official Description

Parenteral nutrition infusion pump, stationary
Short Descr Parenteral infus pump statio
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)
KJ Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
KH Dmepos item, initial claim, purchase or first month rental
KI Dmepos item, second or third month rental
Date
Action
Notes
1988-01-01 Added Code added 1/1/1988
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