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Try CasePilot| Short Descr | Portable liquid oxygen sys | Coverage | Carrier Priced | Pricing Indicator(s) | 33 – Supplies And Surgical Dressings - Oxygen and oxygen equipment (price subject to floors and ceilings) | MPI | A – Not applicable, as HCPCS priced under one methodology | BETOS | D1C – Oxygen and supplies | TOS Code(s) | A – Used durable medical equipment (DME) | Added Date | 1/1/2010 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| KX | Requirements specified in the medical policy have been met | RR | Rental (use the 'rr' modifier when dme is to be rented) | N1 | Group 1 oxygen coverage criteria met | NU | New equipment | QF | Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed |
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| 2010-01-01 | Added | - |
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