Showing codes KO (Single drug unit dose formulation) — L0455 (Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf)

KO - Single drug unit dose form
Long description: Single drug unit dose formulation
Code added date: 19970401.
Code effective date: 19970401.
Coverage Code: C (A code denoting Medicare coverage status).
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KP - First drug of multi drug u d
Long description: First drug of a multiple drug unit dose formulation
Code added date: 19970401.
Code effective date: 19970401.
Coverage Code: C (A code denoting Medicare coverage status).
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KQ - 2nd/subsqnt drg multi drg ud
Long description: Second or subsequent drug of a multiple drug unit dose formulation
Code added date: 19970401.
Code effective date: 19970401.
Coverage Code: C (A code denoting Medicare coverage status).
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KR - Rental item partial month
Long description: Rental item, billing for partial month
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: C (A code denoting Medicare coverage status).
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KS - Glucose monitor supply
Long description: Glucose monitor supply for diabetic beneficiary not treated with insulin
Code added date: 19981001.
Code effective date: 19981001.
Coverage Code: D (A code denoting Medicare coverage status).
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KT - Item from noncontract supply
Long description: Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
Code added date: 20070701.
Code effective date: 20080401.
Coverage Code: C (A code denoting Medicare coverage status).
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KU - Dmepos comp bid prgm no 3
Long description: Dmepos item subject to dmepos competitive bidding program number 3
Code added date: 20070701.
Code effective date: 20070701.
Coverage Code: C (A code denoting Medicare coverage status).
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KV - Dmepos item, profession serv
Long description: Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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KW - Dmepos comp bid prgm no 4
Long description: Dmepos item subject to dmepos competitive bidding program number 4
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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KX - Documentation on file
Long description: Requirements specified in the medical policy have been met
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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KY - Dmepos comp bid prgm no 5
Long description: Dmepos item subject to dmepos competitive bidding program number 5
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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KZ - New cov not implement by m+c
Long description: New coverage not implemented by managed care
Code added date: 20031001.
Code effective date: 20031001.
Coverage Code: C (A code denoting Medicare coverage status).
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L0112 - Cranial cervical orthosis
Long description: Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0113 - Cranial cervical torticollis
Long description: Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0120 - Cerv flex n/adj foam pre ots
Long description: Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)
Code added date: 19820101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0130 - Flex thermoplastic collar mo
Long description: Cervical, flexible, thermoplastic collar, molded to patient
Code added date: 19840101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0140 - Cervical semi-rigid adjustab
Long description: Cervical, semi-rigid, adjustable (plastic collar)
Code added date: 19820101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0150 - Cerv semi-rig adj molded chn
Long description: Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)
Code added date: 19820101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0160 - Cerv sr wire occ/man pre ots
Long description: Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf
Code added date: 19820101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0170 - Cervical collar molded to pt
Long description: Cervical, collar, molded to patient model
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0172 - Cerv col sr foam 2pc pre ots
Long description: Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf
Code added date: 19880101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0174 - Cerv sr 2pc thor ext pre ots
Long description: Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf
Code added date: 19880101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0180 - Cer post col occ/man sup adj
Long description: Cervical, multiple post collar, occipital/mandibular supports, adjustable
Code added date: 19840101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0190 - Cerv collar supp adj cerv ba
Long description: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)
Code added date: 19820101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0200 - Cerv col supp adj bar & thor
Long description: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension
Code added date: 19840101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0220 - Thor rib belt custom fabrica
Long description: Thoracic, rib belt, custom fabricated
Code added date: 19820101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0430 - Dewall posture protector
Long description: Spinal orthosis, anterior-posterior-lateral control, with interface material, custom fitted (dewall posture protector only)
Code added date: 19880101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0450 - Tlso flex trunk/thor pre ots
Long description: Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf
Code added date: 20030101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0452 - Tlso flex custom fab thoraci
Long description: Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0454 - Tlso trnk sj-t9 pre cst
Long description: Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Code added date: 20030101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0455 - Tlso flex trnk sj-t9 pre ots
Long description: Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf
Code added date: 20140101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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