E2103

Short Description

• Non-adju cgm receiver/mon

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• A = Add procedure or modifier code

HCPCS Action Effective Date

• January 01, 2023

HCPCS Code Added Date

• January 01, 2023

HCPCS Pricing Indicator Code

• 32 = Inexpensive & routinely purchased DME (price subject to floors and ceilings)

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Type Of Service Code

• A = Used durable medical equipment (DME)P = Lump sum purchase of DME, prosthetics, orthotics R = Rental of DME

HCPCS Anesthesia Base Unit Quantity

• 0