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Official Description

Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
Short Descr Repair/svc oxygen equipment
Coverage Non-covered by Medicare
Pricing Indicator(s) 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Processing Note MEDICARE BENEFIT POLICY MANUAL, PUB 100.02, CHAPTER 15, SECTION 110.2.
BETOS D1C – Oxygen and supplies
TOS Code(s) 9 – Other medical items or services
Added Date 4/1/2009
APC Status Indicator Non-Covered Service, not paid under OPPS
MUE 0
MUE 0
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
GA Waiver of liability statement issued as required by payer policy, individual case
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
Date
Action
Notes
2009-04-01 Added -
2004-01-09 Changed Code description changed
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