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Official Description

Lightweight portable motorized/power wheelchair
Short Descr Ltwt portbl power whlchr
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 1/1/1994
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 0
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
KX Requirements specified in the medical policy have been met
NU New equipment
Date
Action
Notes
1994-01-01 Added Code added 1/1/1994
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