Table of content for "Repl cushions for jaw motion" (HCPCS E1701)
General information on the “E1701” code
HCPCS Code: E1701
Long Description: Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Short Description: Repl cushions for jaw motion
Original information is taken from E1701 page
Pricing indicators
Pricing Indicator Code 1: 34 – DME supplies (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: 19930101
Code Effective Date: 19960101
Action Code: N – No maintenance for this code