Reusable non-rubber pessary for pelvic support

Description

This device is designed to provide support for pelvic organ prolapse. It is made from non-rubber materials and can be reused, making it a versatile option for patients requiring pelvic support therapy.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Top Modifiers

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HCPCS/CPT KXDocumentation requirements met for DMEPOS items(4.6%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(4.28%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(3.75%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(3.53%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(2.57%)

HCPCS/CPT NUPurchase of new durable medical equipment(1.93%)

HCPCS/CPT GVAttending physician not employed by hospice provider(1.71%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(1.39%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(0.75%)

HCPCS/CPT XSSeparate structure service on distinct organ or structure(0.64%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
HCPCS Quarterly Update, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)