HCPCS Code E1831

Official Description

Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

Short Descr	Static str toe dev ext/flex
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	1/1/2011
APC Status Indicator	Non-Implantable Durable Medical Equipment
MUE	0
MUE	2
OTS Orthotic	No
CCS Clinical Classification	243 - DME and supplies

KJ	Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
RR	Rental (use the 'rr' modifier when dme is to be rented)
KH	Dmepos item, initial claim, purchase or first month rental
KI	Dmepos item, second or third month rental