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Official Description

Therapeutic lightbox, minimum 10,000 lux, table top model
Short Descr Therapeutic lightbox tabletp
Coverage Non-covered by Medicare
Pricing Indicator(s) 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
CIM 60-9
BETOS D1E – Other DME
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2003
APC Status Indicator Non-Covered Service, not paid under OPPS
MUE 0
MUE 0
IOM 100-03, 4, 280.1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
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
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
GA Waiver of liability statement issued as required by payer policy, individual case
NU New equipment
Date
Action
Notes
2003-01-01 Added Code added 1/1/2003
Code
Description
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