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Official Description

Non-pneumatic sequential compression garment, trunk
Short Descr Non pneum seq comp trunk
Coverage Carrier Priced
Pricing Indicator(s) 36 – Supplies And Surgical Dressings - Capped rental DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1E – Other DME
TOS Code(s) R – Rental of DME
Added Date 4/1/2023
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 1
MUE 1
OTS Orthotic No
NU New equipment
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
2024-01-01 Added First appearance in codebook
2023-04-01 Added Code added.
Code
Description
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