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Official Description

Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension
Short Descr Implt nrostm pls gen dua rec
Coverage Not payable by Medicare
Pricing Indicator(s) 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
BETOS D1F – Prosthetic/Orthotic devices
TOS Code(s) P – Lump sum purchase of DME, prosthetics, orthotics
Added Date 1/1/2006
APC Status Indicator Non-Covered Service, not paid under OPPS
MUE 1
MUE 0
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
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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