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Try CasePilot| Short Descr | Cpm device, other than knee | Coverage | Non-covered by Medicare | Pricing Indicator(s) | 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) | MPI | 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') | Processing Note | PUBLICATION 100-03, CHAPTER 1, SECTION 280.1 (100.03, 1, 280.1). | BETOS | D1E – Other DME | TOS Code(s) | R – Rental of DME | Added Date | 1/1/2007 | APC Status Indicator | Non-Covered Service, not paid under OPPS | MUE | 0 | MUE | 0 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| 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 | RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | GZ | Item or service expected to be denied as not reasonable and necessary | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GX | Notice of liability issued, voluntary under payer policy |
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| 2007-01-01 | Added | Code added 1/1/2007 |
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