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Official Description

Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
Short Descr Crutch forearm each
Coverage Special coverage instructions apply
Pricing Indicator(s) 32 – Supplies And Surgical Dressings - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 60-9
MCM 2100.1
BETOS D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 1/1/1986
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 2
IOM 100-02, 15, 110.1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
GA Waiver of liability statement issued as required by payer policy, individual case
KV Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
KX Requirements specified in the medical policy have been met
LT Left side (used to identify procedures performed on the left side of the body)
NU New equipment
RA Replacement of a dme, orthotic or prosthetic item
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986
Code
Description
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