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Official Description

Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches
Short Descr Absorp drg >48 suc pump
Coverage Carrier Priced
Pricing Indicator(s) 34 – Supplies And Surgical Dressings - DME supplies (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1E – Other DME
TOS Code(s) S – Surgical dressings or other medical supplies
Added Date 7/1/2011
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE 0
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
Date
Action
Notes
2011-07-01 Added -
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