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Try CasePilot| Short Descr | Adju cgm receiver/monitor | Coverage | Carrier Priced | 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 | BETOS | D1E – Other DME | TOS Code(s) | A – Used durable medical equipment (DME) | Added Date | 4/1/2022 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 1 | MUE | 1 | OTS Orthotic | No |
| RR | Rental (use the 'rr' modifier when dme is to be rented) | KF | Item designated by fda as class iii device | KX | Requirements specified in the medical policy have been met | NU | New equipment | CG | Policy criteria applied | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen |
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| 2023-01-01 | Changed | Long Description Change |
| 2022-04-01 | Added | Code added. |
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