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Try CasePilot| Short Descr | Adjust wrist ext & flex dev | Coverage | Carrier Priced | 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 | BETOS | D1E – Other DME | TOS Code(s) | P – Lump sum purchase of DME, prosthetics, orthotics | Added Date | 1/1/1996 | Action Code | C – Change in long description of procedure or modifier code (effective 1/1/2025) | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 2 | 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 | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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Notes
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| 2026-01-01 | Changed | First appearance of change in codebook. |
| 2025-01-01 | Changed | Long description changed |
| 1996-01-01 | Added | Code added 1/1/1996 |
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