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Try CasePilot| Short Descr | Oximeter non-invasive | Coverage | Carrier Priced | 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') | BETOS | Z2 – Undefined codes | TOS Code(s) | 9 – Other medical items or services | Added Date | 1/1/2003 | APC Status Indicator | Items and Services Packaged into APC Rates | MUE | 0 | MUE | 0 | IOM | 100-03, 4, 280.1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | EP | Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program | KX | Requirements specified in the medical policy have been met | 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 | U4 | Medicaid level of care 4, as defined by each state | GZ | Item or service expected to be denied as not reasonable and necessary | U1 | Medicaid level of care 1, as defined by each state | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GX | Notice of liability issued, voluntary under payer policy | KR | Rental item, billing for partial month | N1 | Group 1 oxygen coverage criteria met | NU | New equipment | RA | Replacement of a dme, orthotic or prosthetic item |
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| 2003-01-01 | Added | Code added 1/1/2003 |
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