HCPCS Code E0693

Official Description

Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel

Short Descr	Uvl sys panel 6 ft
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	1/1/2003
APC Status Indicator	Non-Implantable Durable Medical Equipment
MUE	0
MUE	1
OTS Orthotic	No
CCS Clinical Classification	243 - DME and supplies

NU	New equipment
KX	Requirements specified in the medical policy have been met
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
GK	Reasonable and necessary item/service associated with a ga or gz modifier