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Try CasePilot| Short Descr | Supp ext up limb tremor stim | 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) | P – Lump sum purchase of DME, prosthetics, orthotics | Added Date | 4/1/2021 | Termination Date | 12/31/2023 | APC Status Indicator | Non-Implantable Durable Medical Equipment | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GZ | Item or service expected to be denied as not reasonable and necessary | KX | Requirements specified in the medical policy have been met |
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| 2023-12-31 | Deleted | Code deleted, see A4542. |
| 2023-04-01 | Changed | Long description changed. |
| 2023-01-01 | Changed | First appearance of change(s) in codebook. |
| 2022-10-01 | Changed | Code changed. Change in long description. |
| 2021-04-01 | Added | Code added. |
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