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Official Description

Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each
Short Descr Repl batt lithium 4.5 v
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 D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 4/1/2003
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE 0
MUE 4
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
KX Requirements specified in the medical policy have been met
NU New equipment
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
Date
Action
Notes
2003-04-01 Added Code added 4/1/2003
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