Showing codes K4 (Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.) — L0130 (Cervical, flexible, thermoplastic collar, molded to patient)
K4 - Lwr ext prost functnl lvl 4
Long description: Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.
Code added date: 19930101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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KA - Wheelchair add-on option/acc
Long description: Add on option/accessory for wheelchair
Code added date: 19940101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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KB - >4 modifiers on claim
Long description: Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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KC - Repl special pwr wc intrface
Long description: Replacement of special power wheelchair interface
Code added date: 20050101.
Code effective date: 20050101.
Coverage Code: C (A code denoting Medicare coverage status).
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KD - Drug/biological dme infused
Long description: Drug or biological infused through dme
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: C (A code denoting Medicare coverage status).
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KE - Bid under round 1 dmepos cb
Long description: Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment
Code added date: 20090101.
Code effective date: 20090101.
Coverage Code: C (A code denoting Medicare coverage status).
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KF - Fda class iii device
Long description: Item designated by fda as class iii device
Code added date: 20040401.
Code effective date: 20040401.
Coverage Code: C (A code denoting Medicare coverage status).
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KG - Dmepos comp bid prgm no 1
Long description: Dmepos item subject to dmepos competitive bidding program number 1
Code added date: 20070701.
Code effective date: 20070701.
Coverage Code: C (A code denoting Medicare coverage status).
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KH - Dmepos ini clm, pur/1 mo rnt
Long description: Dmepos item, initial claim, purchase or first month rental
Code added date: 19940101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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KI - Dmepos 2nd or 3rd mo rental
Long description: Dmepos item, second or third month rental
Code added date: 19940101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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KJ - Dmepos pen pmp or 4-15mo rnt
Long description: Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen
Code added date: 19940101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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KK - Dmepos comp bid prgm no 2
Long description: Dmepos item subject to dmepos competitive bidding program number 2
Code added date: 20070701.
Code effective date: 20070701.
Coverage Code: C (A code denoting Medicare coverage status).
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KL - Dmepos mailorder comp bid
Long description: Dmepos item delivered via mail
Code added date: 20070701.
Code effective date: 20090101.
Coverage Code: C (A code denoting Medicare coverage status).
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KM - Rplc facial prosth new imp
Long description: Replacement of facial prosthesis including new impression/moulage
Code added date: 19960101.
Code effective date: 20010101.
Coverage Code: C (A code denoting Medicare coverage status).
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KN - Rplc facial prosth old mod
Long description: Replacement of facial prosthesis using previous master model
Code added date: 19960101.
Code effective date: 20010101.
Coverage Code: C (A code denoting Medicare coverage status).
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KO - Single drug unit dose form
Long description: Single drug unit dose formulation
Code added date: 19970401.
Code effective date: 19970401.
Coverage Code: C (A code denoting Medicare coverage status).
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KP - First drug of multi drug u d
Long description: First drug of a multiple drug unit dose formulation
Code added date: 19970401.
Code effective date: 19970401.
Coverage Code: C (A code denoting Medicare coverage status).
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KQ - 2nd/subsqnt drg multi drg ud
Long description: Second or subsequent drug of a multiple drug unit dose formulation
Code added date: 19970401.
Code effective date: 19970401.
Coverage Code: C (A code denoting Medicare coverage status).
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KR - Rental item partial month
Long description: Rental item, billing for partial month
Code added date: 20020101.
Code effective date: 20020101.
Coverage Code: C (A code denoting Medicare coverage status).
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KS - Glucose monitor supply
Long description: Glucose monitor supply for diabetic beneficiary not treated with insulin
Code added date: 19981001.
Code effective date: 19981001.
Coverage Code: D (A code denoting Medicare coverage status).
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KT - Item from noncontract supply
Long description: Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
Code added date: 20070701.
Code effective date: 20080401.
Coverage Code: C (A code denoting Medicare coverage status).
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KU - Dmepos comp bid prgm no 3
Long description: Dmepos item subject to dmepos competitive bidding program number 3
Code added date: 20070701.
Code effective date: 20070701.
Coverage Code: C (A code denoting Medicare coverage status).
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KV - Dmepos item, profession serv
Long description: Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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KW - Dmepos comp bid prgm no 4
Long description: Dmepos item subject to dmepos competitive bidding program number 4
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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KX - Documentation on file
Long description: Requirements specified in the medical policy have been met
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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KY - Dmepos comp bid prgm no 5
Long description: Dmepos item subject to dmepos competitive bidding program number 5
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: C (A code denoting Medicare coverage status).
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KZ - New cov not implement by m+c
Long description: New coverage not implemented by managed care
Code added date: 20031001.
Code effective date: 20031001.
Coverage Code: C (A code denoting Medicare coverage status).
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L0112 - Cranial cervical orthosis
Long description: Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0113 - Cranial cervical torticollis
Long description: Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0120 - Cerv flex n/adj foam pre ots
Long description: Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)
Code added date: 19820101.
Code effective date: 20140101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L0130 - Flex thermoplastic collar mo
Long description: Cervical, flexible, thermoplastic collar, molded to patient
Code added date: 19840101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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