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Try CasePilot| Short Descr | Humidifier heated used w pap | 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) | A – Used durable medical equipment (DME) | Added Date | 1/1/2004 | 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) | NU | New equipment | RA | Replacement of a dme, orthotic or prosthetic item | GZ | Item or service expected to be denied as not reasonable and necessary | GA | Waiver of liability statement issued as required by payer policy, individual case | CR | Catastrophe/disaster related | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen | BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CK | At least 40 percent but less than 60 percent impaired, limited or restricted | EY | No physician or other licensed health care provider order for this item or service | GW | Service not related to the hospice patient's terminal condition | 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 | KH | Dmepos item, initial claim, purchase or first month rental | KI | Dmepos item, second or third month rental | KS | Glucose monitor supply for diabetic beneficiary not treated with insulin | KT | Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item | N1 | Group 1 oxygen coverage criteria met | UE | Used durable medical equipment |
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| 2004-01-01 | Added | Code added 1/1/2004 |
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