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Try CasePilot| Short Descr | Pt prgrm for implt neurostim | Coverage | Special coverage instructions apply | 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 | CIM | 65-8 | 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 | 1 | MUE | 0 | IOM | 100-03, 4, 280.4 | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | KX | Requirements specified in the medical policy have been met | NU | New equipment | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | RA | Replacement of a dme, orthotic or prosthetic item |
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| 2009-01-01 | Changed | Code description changed |
| 2006-01-01 | Added | Code added 1/1/2006 |
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