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Try CasePilot| Short Descr | Inter limb compress dev nos | 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) | A – Used durable medical equipment (DME) | Added Date | 1/1/2007 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 1 | 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 | NU | New equipment | RR | Rental (use the 'rr' modifier when dme is to be rented) | KX | Requirements specified in the medical policy have been met | KH | Dmepos item, initial claim, purchase or first month rental | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GA | Waiver of liability statement issued as required by payer policy, individual case | GZ | Item or service expected to be denied as not reasonable and necessary | GT | Via interactive audio and video telecommunication systems | GX | Notice of liability issued, voluntary under payer policy | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2023-10-01 | Note | Miscellaneous change (BETOS or Type of Service) |
| 2007-01-01 | Added | Code added 1/1/2007 |
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