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Official Description

Osteogenesis stimulator, low intensity ultrasound, non-invasive
Short Descr Osteogen ultrasound stimltor
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
MCM 35-48
BETOS D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 1/1/1997
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
KF Item designated by fda as class iii device
NU New equipment
GA Waiver of liability statement issued as required by payer policy, individual case
KX Requirements specified in the medical policy have been met
UE Used durable medical equipment
Date
Action
Notes
1997-01-01 Added Code added 1/1/1997
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