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Official Description

Low frequency ultrasonic diathermy treatment device for home use
Short Descr Lo freq us diathermy device
Coverage Non-covered by Medicare statute
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')
Statute 1861(n)
BETOS Z2 – Undefined codes
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2020
APC Status Indicator Non-Covered Service, not paid under OPPS
MUE 1
MUE 1
OTS Orthotic No
Date
Action
Notes
2024-01-01 Changed First appearance of change in codebook.
2023-10-01 Changed Long Description Change
2022-10-01 Note Change in administrative data field
2020-01-01 Added Code added.
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