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Try CasePilot| Short Descr | Functional electric stim nos | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 46 – Supplies And Surgical Dressings - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts) | MPI | A – Not applicable, as HCPCS priced under one methodology | Processing Note | NCD 100-3, 160.12. | BETOS | D1E – Other DME | TOS Code(s) | A – Used durable medical equipment (DME) | Added Date | 1/1/2009 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 1 | MUE | 1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| GA | Waiver of liability statement issued as required by payer policy, individual case | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | NU | New equipment | RR | Rental (use the 'rr' modifier when dme is to be rented) | RT | Right side (used to identify procedures performed on the right side of the body) | UE | Used durable medical equipment |
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| 2009-01-01 | Added | - |
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