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E0472 - Rad w backup invasive intrfc

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Field Value
HCPCS Code: E0472
Long Description: Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
Short Description: Rad w backup invasive intrfc
Pricing Indicator 1: 36 (Capped rental DME (price subject to floors and ceilings))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Coverage Issues Manual 1: 60-9
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1E (Other DME)
Type of Service Code 1: R (Rental of DME)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2004
Action Effective Date: 01-04-2006
Action Code: N (No maintenance for this code)