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Official Description

Crutch, underarm, articulating, spring assisted, each
Short Descr Underarm springassist crutch
Coverage Special coverage instructions apply
Pricing Indicator(s) 36 – Supplies And Surgical Dressings - Capped rental DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
MCM 2100.1
BETOS D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 1/1/2003
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
GZ Item or service expected to be denied as not reasonable and necessary
KH Dmepos item, initial claim, purchase or first month rental
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
RR Rental (use the 'rr' modifier when dme is to be rented)
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
2003-01-01 Added Code added 1/1/2003
Code
Description
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