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Official Description

Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
Short Descr Indwelling trach insert
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 1/1/2004
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE 1
MUE 1
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
GA Waiver of liability statement issued as required by payer policy, individual case
KX Requirements specified in the medical policy have been met
Date
Action
Notes
2004-01-01 Added Code added 1/1/2004
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