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Official Description

Blood glucose monitor with integrated voice synthesizer
Short Descr Bld glucose monitor w voice
Coverage Special coverage instructions apply
Pricing Indicator(s) 32 – Supplies And Surgical Dressings - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 60-11
BETOS D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 1/1/2002
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 1
IOM 100-03, 4, 230.16
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
NU New equipment
KX Requirements specified in the medical policy have been met
KS Glucose monitor supply for diabetic beneficiary not treated with insulin
UE Used durable medical equipment
Date
Action
Notes
2002-01-01 Added Code added 1/1/2002
Code
Description
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