E1902 |
 |
Communication board, non-electronic augmentative or alternative communication device
short | Aac non-electronic board |
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 |
|
|
|
E2000 |
 |
Gastric suction pump, home model, portable or stationary, electric
short | Gastric suction pump hme mdl |
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 | Nature of Equipment |
|
|
|
E2100 |
 |
Blood glucose monitor with integrated voice synthesizer
short | Bld glucose monitor w voice |
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 | Nature of Equipment |
|
|
|
E2101 |
 |
Blood glucose monitor with integrated lancing/blood sample
short | Bld glucose monitor w lance |
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 | Nature of Equipment |
|
|
|
E2120 |
 |
Pulse generator system for tympanic treatment of inner ear endolymphatic fluid
short | Pulse gen sys tx endolymp fl |
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 | Nature of Equipment |
|
|
|