Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot| Short Descr | Manual semi-reclining back | 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 | 60-6 | 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, 280.3 | 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 | KH | Dmepos item, initial claim, purchase or first month rental | KI | Dmepos item, second or third month rental | KX | Requirements specified in the medical policy have been met | NU | New equipment | KU | Dmepos item subject to dmepos competitive bidding program number 3 | 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 | 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 | KY | Dmepos item subject to dmepos competitive bidding program number 5 | MS | Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 1986-01-01 | Added | Code added 1/1/1986 |
Get instant expert-level medical coding assistance.