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HCPCS
E2120

HCPCS Code E2120

Official Description

Pulse generator system for tympanic treatment of inner ear endolymphatic fluid
Short Descr Pulse gen sys tx endolymp fl
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) R – Rental of DME
Added Date 1/1/2004
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 1
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
Date
Action
Notes
2004-01-01 Added Code added 1/1/2004
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