Replacement pad for use with medically necessary alternating pressure pad owned by patient
Basic Information
| Added: | 1/1/1991 |
| HCPCS Action Code/Description | N / No maintenance for this code |
| Short Description: | Alternating pressure pad |
| Long Description: | Replacement pad for use with medically necessary alternating pressure pad owned by patient |
| Anesthesia Base Unit Quantity | 0 |
Service Code Information
| HCPCS Berenson-Eggers Type Of Service Code/Description: | D1E / Other DME |
| HCPCS Type Of Service Code #1 | A |
| Type Of Service Cod #1 Description | Used durable medical equipment (DME) |
| HCPCS Type Of Service Code #2 | P |
| Type Of Service Cod #2 Description | Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Type Of Service Code #3 | R |
| Type Of Service Cod #3 Description | Rental of DME |
Pricing/Coverage Information
| Coverage Code | D |
| Description | Special coverage instructions apply |
| Pricing Indicator Code #1 | 32 |
| Pricing Indicator Code #1 Description | Inexpensive & routinely purchased DME (price subject to floors and ceilings) |
| Pricing Indicator Code #1 Type | Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings |
| Multi-Pricing Indicator Code | A |
| Description | Not applicable as HCPCS priced under one methodology |
| Coverage Issues Manual Reference Section #1 | 60-9 |
| Medicare Carriers Manual Reference Section #1 | 4107.6 |
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