E1701

Short Description

• Repl cushions for jaw motion

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 1996

HCPCS Code Added Date

• January 01, 1993

HCPCS Pricing Indicator Code

• 34 = DME supplies(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

• P = Lump sum purchase of DME, prosthetics, orthotics

HCPCS Anesthesia Base Unit Quantity

• 0