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Official Description

Apnea monitor, with recording feature
Short Descr Apnea monitor w recorder
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 D1E – Other DME
TOS Code(s) R – Rental of DME
Added Date 1/1/2003
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
KJ Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
KX Requirements specified in the medical policy have been met
NU New equipment
RR Rental (use the 'rr' modifier when dme is to be rented)
Date
Action
Notes
2003-01-01 Added Code added 1/1/2003
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