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Official Description

Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
Short Descr Home vent dual fnct incl all
Coverage Special coverage instructions apply
Pricing Indicator(s) 31 – Supplies And Surgical Dressings - Frequently serviced DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 60-9
Processing Note PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1).
BETOS D1E – Other DME
TOS Code(s) R – Rental of DME
Added Date 4/1/2024
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE Not applicable/unspecified.
MUE 2
OTS Orthotic No
RR Rental (use the 'rr' modifier when dme is to be rented)
Date
Action
Notes
2025-01-01 Added First appearance in codebook.
2024-04-01 Added Code added.
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