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Official Description

Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver
Short Descr Radiofq trsmtr for implt neu
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
NU New equipment
KX Requirements specified in the medical policy have been met
KY Dmepos item subject to dmepos competitive bidding program number 5
LT Left side (used to identify procedures performed on the left side of the body)
RA Replacement of a dme, orthotic or prosthetic item
RT Right side (used to identify procedures performed on the right side of the body)
SG Ambulatory surgical center (asc) facility service
TW Back-up equipment
Date
Action
Notes
2013-01-01 Changed Change in administrative data field
2006-01-01 Added Code added 1/1/2006
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