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Try CasePilot| Short Descr | Pwr seat elevation sys | 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 | Termination Date | 3/31/2024 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| NU | New equipment | KX | Requirements specified in the medical policy have been met | BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | 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 | GA | Waiver of liability statement issued as required by payer policy, individual case | RR | Rental (use the 'rr' modifier when dme is to be rented) | CR | Catastrophe/disaster related | EY | No physician or other licensed health care provider order for this item or service | GX | Notice of liability issued, voluntary under payer policy | GZ | Item or service expected to be denied as not reasonable and necessary | KH | Dmepos item, initial claim, purchase or first month rental | KI | Dmepos item, second or third month rental | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen | KU | Dmepos item subject to dmepos competitive bidding program number 3 | 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 | UE | Used durable medical equipment |
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Notes
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| 2025-01-01 | Deleted | First appearance of deletion in codebook |
| 2024-03-31 | Deleted | Code deleted. See E2298. |
| 2014-01-01 | Changed | Description Changed |
| 2004-01-01 | Added | Added |
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