Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot| Short Descr | Transport chair pt wt<=300lb | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 36 – Supplies And Surgical Dressings - Capped rental 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) | R – Rental of DME | Added Date | 1/1/2003 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 1 | IOM | 100-03, 4, 280.1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| RR | Rental (use the 'rr' modifier when dme is to be rented) | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen | KI | Dmepos item, second or third month rental | KH | Dmepos item, initial claim, purchase or first month rental | KX | Requirements specified in the medical policy have been met | MS | Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty | NU | New equipment | 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 | BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | CR | Catastrophe/disaster related | EE | Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | TW | Back-up equipment |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2003-01-01 | Added | Code added 1/1/2003 |
Get instant expert-level medical coding assistance.