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Official Description

Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
Short Descr Oral dv nm mouthpc hw remote
Coverage Carrier Priced
Pricing Indicator(s) 32 – Supplies And Surgical Dressings - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1E – Other DME
TOS Code(s) P – Lump sum purchase of DME, prosthetics, orthotics
Added Date 10/1/2023
Action Code P – Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) (effective 1/1/2025)
APC Status Indicator Non-Covered Service, not paid under OPPS
MUE 1
MUE 1
OTS Orthotic No
Date
Action
Notes
2025-01-01 Note Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers)
2024-01-01 Added First appearance in codebook.
2023-10-01 Added Code added.
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