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Try CasePilot| Short Descr | Bath/shower chair | 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 | 1/1/2004 | 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 |
| NU | New equipment | 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 | KX | Requirements specified in the medical policy have been met | GZ | Item or service expected to be denied as not reasonable and necessary | GA | Waiver of liability statement issued as required by payer policy, individual case | RR | Rental (use the 'rr' modifier when dme is to be rented) | UB | Medicaid level of care 11, as defined by each state | SC | Medically necessary service or supply | AY | Item or service furnished to an esrd patient that is not for the treatment of esrd | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | EA | Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy | EP | Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program | GL | Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) | GW | Service not related to the hospice patient's terminal condition | KT | Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item | KU | Dmepos item subject to dmepos competitive bidding program number 3 | KY | Dmepos item subject to dmepos competitive bidding program number 5 | RA | Replacement of a dme, orthotic or prosthetic item | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair | TF | Intermediate level of care | TG | Complex/high tech level of care | U3 | Medicaid level of care 3, as defined by each state |
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| 2004-01-01 | Added | Code added 1/1/2004 |
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