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Official Description

Walker, rigid, wheeled, adjustable or fixed height
Short Descr Rigid wheeled walker adj/fix
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 1
IOM 100-02, 15, 110.1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
NU New equipment
KX Requirements specified in the medical policy have been met
GL Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
RR Rental (use the 'rr' modifier when dme is to be rented)
KV Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CG Policy criteria applied
RA Replacement of a dme, orthotic or prosthetic item
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986
Code
Description
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