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Official Description

Surgical boot, each, infant
Short Descr Surgical boot each infant
Coverage Special coverage instructions apply
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')
MCM 2079
BETOS D1F – Prosthetic/Orthotic devices
TOS Code(s) P – Lump sum purchase of DME, prosthetics, orthotics
Added Date 1/1/1984
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE 0
MUE 1
IOM 100-02, 15, 290
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
Date
Action
Notes
1984-01-01 Added Code added 1/1/1984
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