Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

A7000 - A7048 Respiratory Supplies

A7000

Canister, disposable, used with suction pump, each

short

Disposable canister for pump

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy

A7001

Canister, non-disposable, used with suction pump, each

short

Nondisposable pump canister

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	3.0	3 Date of Service Edit: Clinical	Clinical: Data

A7002

Tubing, used with suction pump, each

short

Tubing used w suction pump

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy

A7003

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable

short

Nebulizer administration set

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7004

Small volume nonfiltered pneumatic nebulizer, disposable

short

Disposable nebulizer sml vol

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7005

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable

short

Nondisposable nebulizer set

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7006

Administration set, with small volume filtered pneumatic nebulizer

short

Filtered nebulizer admin set

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	3.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7007

Large volume nebulizer, disposable, unfilled, used with aerosol compressor

short

Lg vol nebulizer disposable

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7008

Large volume nebulizer, disposable, prefilled, used with aerosol compressor

short

Disposable nebulizer prefill

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	Published Contractor Policy

A7009

Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer

short

Nebulizer reservoir bottle

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	2.0	3 Date of Service Edit: Clinical	Clinical: Data

A7010

Corrugated tubing, disposable, used with large volume nebulizer, 100 feet

short

Disposable corrugated tubing

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	2.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7011

Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet

short

Nondispos corrugated tubing

A7012

Water collection device, used with large volume nebulizer

short

Nebulizer water collec devic

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7013

Filter, disposable, used with aerosol compressor or ultrasonic generator

short

Disposable compressor filter

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7014

Filter, nondisposable, used with aerosol compressor or ultrasonic generator

short

Compressor nondispos filter

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7015

Aerosol mask, used with dme nebulizer

short

Aerosol mask used w nebulize

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	3.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7016

Dome and mouthpiece, used with small volume ultrasonic nebulizer

short

Nebulizer dome & mouthpiece

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7017

Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen

short

Nebulizer not used w oxygen

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7018

Water, distilled, used with large volume nebulizer, 1000 ml

short

Water distilled w/nebulizer

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy

A7020

Interface for cough stimulating device, includes all components, replacement only

short

Interface, cough stim device

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	3 Date of Service Edit: Clinical	Nature of Equipment

A7025

High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each

short

Replace chest compress vest

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	3 Date of Service Edit: Clinical	Clinical: Data

A7026

High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each

short

Replace chst cmprss sys hose

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	3 Date of Service Edit: Clinical	Clinical: Data

A7027

Combination oral/nasal mask, used with continuous positive airway pressure device, each

short

Combination oral/nasal mask

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7028

Oral cushion for combination oral/nasal mask, replacement only, each

short

Repl oral cushion combo mask

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7029

Nasal pillows for combination oral/nasal mask, replacement only, pair

short

Repl nasal pillow comb mask

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7030

Full face mask used with positive airway pressure device, each

short

Cpap full face mask

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7031

Face mask interface, replacement for full face mask, each

short

Replacement facemask interfa

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	3.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7032

Cushion for use on nasal mask interface, replacement only, each

short

Replacement nasal cushion

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7033

Pillow for use on nasal cannula type interface, replacement only, pair

short

Replacement nasal pillows

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7034

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap

short

Nasal application device

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7035

Headgear used with positive airway pressure device

short

Pos airway press headgear

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7036

Chinstrap used with positive airway pressure device

short

Pos airway press chinstrap

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7037

Tubing used with positive airway pressure device

short

Pos airway pressure tubing

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7038

Filter, disposable, used with positive airway pressure device

short

Pos airway pressure filter

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	6.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7039

Filter, non disposable, used with positive airway pressure device

short

Filter, non disposable w pap

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7040

One way chest drain valve

short

One way chest drain valve

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	3 Date of Service Edit: Clinical	Clinical: CMS Workgroup
OPH	2.0	3 Date of Service Edit: Clinical	Clinical: CMS Workgroup
DME	0.0	3 Date of Service Edit: Clinical	CMS Policy

A7041

Water seal drainage container and tubing for use with implanted chest tube

short

Water seal drain container

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	3 Date of Service Edit: Clinical	Clinical: CMS Workgroup
OPH	2.0	3 Date of Service Edit: Clinical	Clinical: Data
DME	0.0	3 Date of Service Edit: Clinical	CMS Policy

A7042

Implanted pleural catheter, each

short

Implanted pleural catheter

A7043

Vacuum drainage bottle and tubing for use with implanted catheter

short

Vacuum drainagebottle/tubing

A7044

Oral interface used with positive airway pressure device, each

short

Pap oral interface

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	3 Date of Service Edit: Clinical	Clinical: Data

A7045

Exhalation port with or without swivel used with accessories for positive airway devices, replacement only

short

Repl exhalation port for pap

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	2.0	3 Date of Service Edit: Clinical	Clinical: Data

A7046

Water chamber for humidifier, used with positive airway pressure device, replacement, each

short

Repl water chamber, pap dev

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	0.0	3 Date of Service Edit: Clinical	CMS Policy
DME	1.0	2 Date of Service Edit: Policy	Published Contractor Policy

A7047

Oral interface used with respiratory suction pump, each

short

Resp suction oral interface

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Clinical: CMS Workgroup
DME	0.0	3 Date of Service Edit: Clinical	Published Contractor Policy

A7048

Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each

short

Vacuum drain bottle/tube kit

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	2.0	3 Date of Service Edit: Clinical	Clinical: Data
OPH	2.0	3 Date of Service Edit: Clinical	Clinical: CMS Workgroup
DME	0.0	3 Date of Service Edit: Clinical	CMS Policy