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Official Description

Noc for parenteral supplies
Short Descr Parenteral supp not othrws 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
JZ Zero drug amount discarded/not administered to any patient
JK One month supply or less of drug or biological
SV Pharmaceuticals delivered to patient's home but not utilized
Date
Action
Notes
1985-01-01 Added Code added 1/1/1985
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