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Try CasePilot| Short Descr | Heavyduty walker no wheels | Coverage | Carrier Priced | 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 | BETOS | D1E – Other DME | TOS Code(s) | A – Used durable medical equipment (DME) | Added Date | 1/1/2001 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| KX | Requirements specified in the medical policy have been met | NU | New equipment | RR | Rental (use the 'rr' modifier when dme is to be rented) | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GK | Reasonable and necessary item/service associated with a ga or gz modifier | GL | Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen | KT | Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item | KV | Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service | RA | Replacement of a dme, orthotic or prosthetic item |
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| 2001-01-01 | Added | Code added 1/1/2001 |
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