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Try CasePilot| Short Descr | Pwc gp2 std sing pow opt cap | 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 | 10/1/2006 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | 0 | MUE | 1 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| NU | New equipment | BP | The beneficiary has been informed of the purchase and rental options and has elected to purchase the item | KX | Requirements specified in the medical policy have been met | GL | Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) | KJ | Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen | RR | Rental (use the 'rr' modifier when dme is to be rented) | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | KH | Dmepos item, initial claim, purchase or first month rental | KI | Dmepos item, second or third month rental | KY | Dmepos item subject to dmepos competitive bidding program number 5 |
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| 2006-10-01 | Added | Code added 10/1/2006 |
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