L8300 |
 |
Truss, single with standard pad
short | Truss single w/ standard pad |
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: Data | DME | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
L8310 |
 |
Truss, double with standard pads
short | Truss double w/ standard pad |
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 | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
L8320 |
 |
Truss, addition to standard pad, water pad
short | Truss addition to std pad wa |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
L8330 |
 |
Truss, addition to standard pad, scrotal pad
short | Truss add to std pad scrotal |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|