A4450 |
|
Tape, non-waterproof, per 18 square inches
short | Non-waterproof tape |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 20.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
A4452 |
|
Tape, waterproof, per 18 square inches
short | Waterproof tape |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4455 |
|
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
short | Adhesive remover per ounce |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4456 |
|
Adhesive remover, wipes, any type, each
short | Adhesive remover, wipes |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
|
|
A4458 |
|
Enema bag with tubing, reusable
short | Reusable enema bag |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4459 |
|
Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type
short | Manual pump enema, reusable |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
A4461 |
|
Surgical dressing holder, non-reusable, each
short | Surgicl dress hold non-reuse |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
A4463 |
|
Surgical dressing holder, reusable, each
short | Surgical dress holder reuse |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4465 |
|
Non-elastic binder for extremity
short | Non-elastic extremity binder |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4466 |
|
Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
short | Elastic garment/covering |
|
|
A4467 |
|
Belt, strap, sleeve, garment, or covering, any type
short | Belt strap sleev grmnt cover |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4470 |
|
Gravlee jet washer
short | Gravlee jet washer |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4480 |
|
Vabra aspirator
short | Vabra aspirator |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4481 |
|
Tracheostoma filter, any type, any size, each
short | Tracheostoma filter |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
A4483 |
|
Moisture exchanger, disposable, for use with invasive mechanical ventilation
short | Moisture exchanger |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
A4490 |
|
Surgical stockings above knee length, each
short | Above knee surgical stocking |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4495 |
|
Surgical stockings thigh length, each
short | Thigh length surg stocking |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4500 |
|
Surgical stockings below knee length, each
short | Below knee surgical stocking |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4510 |
|
Surgical stockings full length, each
short | Full length surg stocking |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4520 |
|
Incontinence garment, any type, (e.g., brief, diaper), each
short | Incontinence garment anytype |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4550 |
|
Surgical trays
short | Surgical trays |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4553 |
|
Non-disposable underpads, all sizes
short | Nondisp underpads, all sizes |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4554 |
|
Disposable underpads, all sizes
short | Disposable underpads |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4555 |
|
Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
short | Ca tx e-stim electr/transduc |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4556 |
|
Electrodes, (e.g., apnea monitor), per pair
short | Electrodes, pair |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4557 |
|
Lead wires, (e.g., apnea monitor), per pair
short | Lead wires, pair |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 2.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4558 |
|
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz
short | Conductive gel or paste |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4559 |
|
Coupling gel or paste, for use with ultrasound device, per oz
short | Coupling gel or paste |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4561 |
|
Pessary, rubber, any type
short | Pessary rubber, any type |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4562 |
|
Pessary, non rubber, any type
short | Pessary, non rubber,any type |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4563 |
|
Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
short | Vag inser rectal control sys |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
|
|
|
A4565 |
|
Slings
short | Slings |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4566 |
|
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
short | Should sling/vest/abrestrain |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4570 |
|
Splint
short | Splint |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4575 |
|
Topical hyperbaric oxygen chamber, disposable
short | Hyperbaric o2 chamber disps |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4580 |
|
Cast supplies (e.g., plaster)
short | Cast supplies (plaster) |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4590 |
|
Special casting material (e.g., fiberglass)
short | Special casting material |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
A4595 |
|
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)
short | Tens suppl 2 lead per month |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 6.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction |
|
|
|
A4600 |
|
Sleeve for intermittent limb compression device, replacement only, each
short | Sleeve, inter limb comp dev |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4601 |
|
Lithium ion battery, rechargeable, for non-prosthetic use, replacement
short | Lith ion non prosth recharge |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4602 |
|
Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
short | Replace lithium battery 1.5v |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
A4604 |
|
Tubing with integrated heating element for use with positive airway pressure device
short | Tubing with heating element |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | DME | 1.0 | 2 Date of Service Edit: Policy | Published Contractor Policy |
|
|
|
A4605 |
|
Tracheal suction catheter, closed system, each
short | Trach suction cath close sys |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
A4606 |
|
Oxygen probe for use with oximeter device, replacement
short | Oxygen probe used w oximeter |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|
A4608 |
|
Transtracheal oxygen catheter, each
short | Transtracheal oxygen cath |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | DME | 0.0 | 3 Date of Service Edit: Clinical | Published Contractor Policy |
|
|
|