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Official Description

Hospital bed, fixed height, with any type side rails, without mattress
Short Descr Hosp bed fixd ht w/o mattres
Coverage Special coverage instructions apply
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
CIM 60-18
MCM 2100.1
BETOS D1B – Hospital beds
TOS Code(s) R – Rental of DME
Added Date 1/1/1986
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 1
IOM 100-02, 15, 110.1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
RR Rental (use the 'rr' modifier when dme is to be rented)
KJ Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
KH Dmepos item, initial claim, purchase or first month rental
KI Dmepos item, second or third month rental
GL Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
KX Requirements specified in the medical policy have been met
NU New equipment
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986
Code
Description
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