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Official Description

Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement
Short Descr Radiof trsmtr implt scrl 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
KX Requirements specified in the medical policy have been met
RT Right side (used to identify procedures performed on the right side of the body)
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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Description
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