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Official Description

Electromyography (emg), biofeedback device
Short Descr Electromyograph biofeedback
Coverage Special coverage instructions apply
Pricing Indicator(s) 52 – Reasonable charge
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 35-27
BETOS D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 1/1/1989
APC Status Indicator Items and Services Packaged into APC Rates
MUE 1
MUE 0
IOM 100-03, 1, 30.1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
GW Service not related to the hospice patient's terminal condition
NU New equipment
Date
Action
Notes
1989-01-01 Added Code added 1/1/1989
Code
Description
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