E1700 |
 |
Jaw motion rehabilitation system
short | Jaw motion rehab system |
MUE | Location | Value | Ajudication Indicator | Rationale |
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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 | Nature of Equipment |
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E1701 |
 |
Replacement cushions for jaw motion rehabilitation system, pkg. of 6
short | Repl cushions for jaw motion |
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 |
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E1702 |
 |
Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200
short | Repl measr scales jaw motion |
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 | 0.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
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