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Official Description

Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
Short Descr Hand interface joystick
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 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
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)
NU New equipment
RB Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair
KX Requirements specified in the medical policy have been met
UE Used durable medical equipment
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
GZ Item or service expected to be denied as not reasonable and necessary
KC Replacement of special power wheelchair interface
KH Dmepos item, initial claim, purchase or first month rental
KI Dmepos item, second or third month rental
KU Dmepos item subject to dmepos competitive bidding program number 3
KY Dmepos item subject to dmepos competitive bidding program number 5
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
2004-01-01 Added Code added 1/1/2004
Code
Description
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