|
L8300 |
 |
Truss, single with standard pad
| short | Truss single w/ standard pad |
| 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 | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8310 |
 |
Truss, double with standard pads
| short | Truss double w/ standard pad |
| 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 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8320 |
 |
Truss, addition to standard pad, water pad
| short | Truss addition to std pad wa |
| 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 | Nature of Equipment |
|
|
|
|
L8330 |
 |
Truss, addition to standard pad, scrotal pad
| short | Truss add to std pad scrotal |
| 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 | Nature of Equipment |
|
|
|