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Try CasePilot| Short Descr | Non-adju cgm receiver/mon | 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 | 1/1/2023 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 1 | MUE | 1 | OTS Orthotic | No |
| NU | New equipment | KX | Requirements specified in the medical policy have been met | CG | Policy criteria applied | KF | Item designated by fda as class iii device | RR | Rental (use the 'rr' modifier when dme is to be rented) | KS | Glucose monitor supply for diabetic beneficiary not treated with insulin | GW | Service not related to the hospice patient's terminal condition | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | GL | Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GZ | Item or service expected to be denied as not reasonable and necessary | KR | Rental item, billing for partial month |
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| 2023-01-01 | Added | Code added. |
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