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Official Description

High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
Short Descr Wheelchair lightwt fixed arm
Coverage Not payable 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')
CIM 60-9
Cross-Reference(s) K0004
BETOS D1D – Wheelchairs
TOS Code(s) R – Rental of DME
Added Date 1/1/1986
APC Status Indicator Non-Covered Service, not paid under OPPS
MUE 0
MUE 1
IOM 100-03, 4, 280.1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986
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