Showing codes E2616 (Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware) — EM (Emergency reserve supply (for esrd benefit only))
E2616 - Pos back post/lat wdth>=22in
Long description: Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
32
; (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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E2617 - Custom fab w/c back cushion
Long description: Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
32
; (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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E2619 - Replace cover w/c seat cush
Long description: Replacement cover for wheelchair seat cushion or back cushion, each
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
32
; (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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E2620 - Wc planar back cush wd <22in
Long description: Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
32
; (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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E2621 - Wc planar back cush wd>=22in
Long description: Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
32
; (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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E2622 - Adj skin pro w/c cus wd<22in
Long description: Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
Code added date: 20110101.
Code effective date: 20110101.
Pricing Indicator Code(s):
32
; (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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E2623 - Adj skin pro wc cus wd>=22in
Long description: Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
Code added date: 20110101.
Code effective date: 20110101.
Pricing Indicator Code(s):
32
; (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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E2624 - Adj skin pro/pos cus<22in
Long description: Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
Code added date: 20110101.
Code effective date: 20110101.
Pricing Indicator Code(s):
32
; (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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E2625 - Adj skin pro/pos wc cus>=22
Long description: Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth
Code added date: 20110101.
Code effective date: 20110101.
Pricing Indicator Code(s):
32
; (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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E2626 - Seo mobile arm sup att to wc
Long description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2627 - Arm supp att to wc rancho ty
Long description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2628 - Mobile arm supports reclinin
Long description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2629 - Friction dampening arm supp
Long description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2630 - Monosuspension arm/hand supp
Long description: Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2631 - Elevat proximal arm support
Long description: Wheelchair accessory, addition to mobile arm support, elevating proximal arm
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2632 - Offset/lat rocker arm w/ela
Long description: Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E2633 - Mobile arm support supinator
Long description: Wheelchair accessory, addition to mobile arm support, supinator
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s):
32
; (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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E3 - Upper right eyelid
Long description: Upper right, eyelid
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
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E3000 - Speech volume modulation sys
Long description: Speech volume modulation system, any type, including all components and accessories
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
36
; (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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E3200 - Gait mod systm rhym auditory
Long description: Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only
Code added date: 20241001.
Code effective date: 20241001.
Pricing Indicator Code(s):
46
; (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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E4 - Lower right eyelid
Long description: Lower right, eyelid
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
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E8000 - Posterior gait trainer
Long description: Gait trainer, pediatric size, posterior support, includes all accessories and components
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
00
; (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: I (A code denoting Medicare coverage status).
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E8001 - Upright gait trainer
Long description: Gait trainer, pediatric size, upright support, includes all accessories and components
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
00
; (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: I (A code denoting Medicare coverage status).
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E8002 - Anterior gait trainer
Long description: Gait trainer, pediatric size, anterior support, includes all accessories and components
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s):
00
; (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: I (A code denoting Medicare coverage status).
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EA - Esa, anemia, chemo-induced
Long description: Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: D (A code denoting Medicare coverage status).
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EB - Esa, anemia, radio-induced
Long description: Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: D (A code denoting Medicare coverage status).
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EC - Esa, anemia, non-chemo/radio
Long description: Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: D (A code denoting Medicare coverage status).
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ED - Hct>39% or hgb>13g>=3 cycle
Long description: Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: D (A code denoting Medicare coverage status).
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EE - Hct>39% or hgb>13g<3 cycle
Long description: Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: D (A code denoting Medicare coverage status).
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EJ - Subsequent claim
Long description: Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab
Code added date: 19910101.
Code effective date: 20000101.
Coverage Code: D (A code denoting Medicare coverage status).
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EM - Emer reserve supply (esrd)
Long description: Emergency reserve supply (for esrd benefit only)
Code added date: 19910101.
Code effective date: 19970101.
Coverage Code: D (A code denoting Medicare coverage status).
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