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Official Description

Breast pump, hospital grade, electric (ac and / or dc), any type
Short Descr Hosp grade elec breast pump
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 1/1/2002
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE 0
MUE 1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
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
RR Rental (use the 'rr' modifier when dme is to be rented)
GA Waiver of liability statement issued as required by payer policy, individual case
KX Requirements specified in the medical policy have been met
NU New equipment
Date
Action
Notes
2002-01-01 Added Code added 1/1/2002
Code
Description
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