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Official Description

Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
Short Descr Wheelchair amputee w/ foot r
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 1/1/1986
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
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986
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