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Official Description

Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
Short Descr Heavyduty/wide commode chair
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
RR Rental (use the 'rr' modifier when dme is to be rented)
NU New equipment
GA Waiver of liability statement issued as required by payer policy, individual case
BP The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
GK Reasonable and necessary item/service associated with a ga or gz modifier
GW Service not related to the hospice patient's terminal condition
GX Notice of liability issued, voluntary under payer policy
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
UE Used durable medical equipment
Date
Action
Notes
2001-01-01 Added Code added 1/1/2001
Code
Description
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