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Official Description

Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty
Short Descr Press underlay alter w/pump
Coverage Carrier Priced
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
BETOS D1E – Other DME
TOS Code(s) R – Rental of DME
Added Date 10/1/2022
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 1
MUE 1
OTS Orthotic No
KH Dmepos item, initial claim, purchase or first month rental
KI Dmepos item, second or third month rental
KJ Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
RR Rental (use the 'rr' modifier when dme is to be rented)
Date
Action
Notes
2023-01-01 Added First appearance in codebook.
2022-10-01 Added Code added.
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