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Try CasePilot| Short Descr | Wheelchair arm rest | Coverage | Special coverage instructions apply | 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 | CIM | 60-9 | BETOS | D1D – Wheelchairs | TOS Code(s) | A – Used durable medical equipment (DME) | Added Date | 1/1/1986 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 2 | IOM | 100-03, 4, 280.1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | GA | Waiver of liability statement issued as required by payer policy, individual case | GZ | Item or service expected to be denied as not reasonable and necessary | 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 | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 1986-01-01 | Added | Code added 1/1/1986 |
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