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Official Description

Oxygen and water vapor enriching system without heated delivery
Short Descr O2/water vapor enrich w/o he
Coverage Special coverage instructions apply
Pricing Indicator(s) 33 – Supplies And Surgical Dressings - Oxygen and oxygen equipment (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 60-4
MCM 4107
BETOS D1C – Oxygen and supplies
TOS Code(s) R – Rental of DME
Added Date 1/1/1988
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 1
IOM 100-03, 4, 240.2
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
RR Rental (use the 'rr' modifier when dme is to be rented)
Date
Action
Notes
1988-01-01 Added Code added 1/1/1988
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