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Try CasePilot| Short Descr | Frame depth 22 to 25 in | 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 | D1D – Wheelchairs | TOS Code(s) | A – Used durable medical equipment (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 |
| NU | New equipment | KX | Requirements specified in the medical policy have been met | KU | Dmepos item subject to dmepos competitive bidding program number 3 | RR | Rental (use the 'rr' modifier when dme is to be rented) | BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | GA | Waiver of liability statement issued as required by payer policy, individual case | 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 | KY | Dmepos item subject to dmepos competitive bidding program number 5 | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair | TW | Back-up equipment |
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| 2004-01-01 | Added | Code added 1/1/2004 |
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