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Try CasePilot| Short Descr | Breath tube kit | 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 |
| BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | KH | Dmepos item, initial claim, purchase or first 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 | KX | Requirements specified in the medical policy have been met | NU | New equipment | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair | RR | Rental (use the 'rr' modifier when dme is to be rented) |
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| 2004-01-01 | Added | Code added 1/1/2004 |
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