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Official Description

Tub stool or bench
Short Descr Tub stool or bench
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) A – Used durable medical equipment (DME)
Added Date 1/1/1986
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
BP The beneficiary has been informed of the purchase and rental options and has elected to purchase the item
GA Waiver of liability statement issued as required by payer policy, individual case
AY Item or service furnished to an esrd patient that is not for the treatment of esrd
BO Orally administered nutrition, not by feeding tube
CR Catastrophe/disaster related
GZ Item or service expected to be denied as not reasonable and necessary
KS Glucose monitor supply for diabetic beneficiary not treated with insulin
RR Rental (use the 'rr' modifier when dme is to be rented)
TW Back-up equipment
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986
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