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Official Description

External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
Short Descr Ext low ext sens prosthe mec
Coverage Carrier Priced
Pricing Indicator(s) 46 – Supplies And Surgical Dressings - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
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 10/1/2024
Action Code C – Change in long description of procedure or modifier code (effective 10/1/2024)
APC Status Indicator Non-Implantable Durable Medical Equipment
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2026-01-01 Changed First appearance of change in codebook.
2025-01-01 Added First appearance in codebook.
2024-10-01 Added Code added.
2024-10-01 Changed Code changed. Change in long description.
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