Table of content for "Oral dv nm mouthpc hw remote" (HCPCS E0491)
General information on the “E0491” code
HCPCS Code: E0491
Long Description: Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
Short Description: Oral dv nm mouthpc hw remote
Original information is taken from E0491 page
Pricing indicators
Pricing Indicator Code 1: 32 – Inexpensive & routinely purchased DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20231001
Code Effective Date: 20250101
Action Code: P – Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)