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Try CasePilot| Short Descr | Eo adj jt prefab custom fit | Coverage | Carrier Priced | Pricing Indicator(s) | 38 – Supplies And Surgical Dressings - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) | MPI | A – Not applicable, as HCPCS priced under one methodology | BETOS | D1F – Prosthetic/Orthotic devices | TOS Code(s) | P – Lump sum purchase of DME, prosthetics, orthotics | Added Date | 1/1/2001 | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | MUE | 0 | MUE | 2 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | KX | Requirements specified in the medical policy have been met | RA | Replacement of a dme, orthotic or prosthetic item | AY | Item or service furnished to an esrd patient that is not for the treatment of esrd | CG | Policy criteria applied | GA | Waiver of liability statement issued as required by payer policy, individual case | GP | Services delivered under an outpatient physical therapy plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | 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 | KR | Rental item, billing for partial month | KV | Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | ST | Related to trauma or injury |
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| 2018-01-01 | Changed | Description Changed. |
| 2001-01-01 | Added | Code added 1/1/2001 |
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