| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
E0770 |
| 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 |
Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified |
| HCPCS Short Description |
Functional electric stim nos |
| HCPCS Pricing Indicator Code 1 |
46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts) |
| 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 |
0152 |
| 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 |
1/1/2009 |
| HCPCS Action Effective Date |
1/1/2009 |
| HCPCS Action Code |
N - No maintenance for this code |