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Official Description

Cycler dialysis machine for peritoneal dialysis
Short Descr Cycler dialysis machine
Coverage Special coverage instructions apply
Pricing Indicator(s) 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Processing Note SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO
BETOS P9B – Dialysis services (non-medicare fee schedule)
TOS Code(s) L – ESRD supplies
Added Date 1/1/1986
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE 0
MUE 0
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
Date
Action
Notes
1986-01-01 Added Code added 1/1/1986