Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
K0900 |
HCPCS Sequence Number |
0010 |
HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
HCPCS Long Description |
Customized durable medical equipment, other than wheelchair |
HCPCS Short Description |
Cstm dme other than wheelchr |
HCPCS Pricing Indicator Code 1 |
45 - Customized DME items |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Coverage Code |
D - Special coverage instructions apply |
HCPCS Processing Note Number |
0188 |
HCPCS Berenson-Eggers Type Of Service Code |
D1E - Other DME |
HCPCS Type Of Service Code 1 |
A - Used durable medical equipment (DME) |
HCPCS Type Of Service Code 2 |
P - Lump sum purchase of DME, prosthetics, orthotics |
HCPCS Type Of Service Code 3 |
R - Rental of DME |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
7/1/2013 |
HCPCS Action Effective Date |
7/1/2013 |
HCPCS Action Code |
N - No maintenance for this code |