HCPCS Code B9998

Official Description

Noc for enteral supplies

Short Descr	Enteral supp not otherwise c
Coverage	Special coverage instructions apply
Pricing Indicator(s)	57 – Other carrier priced
MPI	A – Not applicable, as HCPCS priced under one methodology
CIM	65-10
MCM	2130
BETOS	O1C – Enteral and parenteral
TOS Code(s)	E – Enteral/parenteral nutrients/supplies
Added Date	1/1/1985
APC Status Indicator	Non-Implantable Durable Medical Equipment
MUE	0
MUE	Not applicable/unspecified.
IOM	100-02, 15, 120
OTS Orthotic	No
CCS Clinical Classification	243 - DME and supplies

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
BO	Orally administered nutrition, not by feeding tube
SC	Medically necessary service or supply
UB	Medicaid level of care 11, as defined by each state
U3	Medicaid level of care 3, as defined by each state
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
U2	Medicaid level of care 2, as defined by each state
CR	Catastrophe/disaster related
GW	Service not related to the hospice patient's terminal condition
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
NU	New equipment
U7	Medicaid level of care 7, as defined by each state
GX	Notice of liability issued, voluntary under payer policy
U1	Medicaid level of care 1, as defined by each state
U8	Medicaid level of care 8, as defined by each state