HCPCS Code S0209

Official Description

Wheelchair van, mileage, per mile

Short Descr	Wc van mileage per mi
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')
Processing Note	"S" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.
BETOS	Z2 – Undefined codes
TOS Code(s)	D – Ambulance
Added Date	1/1/2002
Status Code	Not Valid for Medicare Purposes
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
MUE	Not applicable/unspecified.
MUE	Not applicable/unspecified.
OTS Orthotic	No
CCS Clinical Classification	239 - Transportation - patient, provider, equipment

HR	Family/couple with client present
GY	Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
HE	Mental health program
HH	Integrated mental health/substance abuse program
HN	Bachelors degree level
NR	New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
PN	Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital
76	Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
RR	Rental (use the 'rr' modifier when dme is to be rented)
SS	Home infusion services provided in the infusion suite of the iv therapy provider
GW	Service not related to the hospice patient's terminal condition
EP	Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program
RE	Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)
RP	Replacement and repair -rp may be used to indicate replacement of dme, orthotic and prosthetic devices which have been in use for sometime. the claim shows the code for the part, followed by the 'rp' modifier and the charge for the part.
SH	Second concurrently administered infusion therapy