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Try CasePilot| Short Descr | Ho w/o joints cf | 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 | 1/1/2006 | 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 | GP | Services delivered under an outpatient physical therapy plan of care | GA | Waiver of liability statement issued as required by payer policy, individual case | GO | Services delivered under an outpatient occupational therapy plan of care | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CG | Policy criteria applied | CO | Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant | F1 | Left hand, second digit | F2 | Left hand, third digit | F5 | Right hand, thumb | F6 | Right hand, second digit | F7 | Right hand, third digit | FA | Left hand, thumb | GW | Service not related to the hospice patient's terminal condition | KV | Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service | RB | Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2006-01-01 | Added | Code added 1/1/2006 |
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