Tubing for use with suction pumps, billed per unit

Description

This code refers to tubing specifically designed for use with suction pumps. It is billed on a per-unit basis, allowing for accurate reimbursement based on the quantity utilized in patient care.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

—

Patient Copayment / Coinsurance

—

Top Modifiers

Graph View

List View

HCPCS/CPT NUPurchase of new durable medical equipment(99.14%)

HCPCS/CPT KXDocumentation requirements met for DMEPOS items(25.73%)

HCPCS/CPT CCProcedure code change due to administrative or filing error(13.3%)

HCPCS/CPT CRCatastrophe or disaster-related service modifier(8.12%)

HCPCS/CPT GAWaiver of liability statement issued per payer policy(4.15%)

HCPCS/CPT GWService unrelated to hospice patient's terminal condition(2.42%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.25%)

HCPCS/CPT GYItem or service excluded from Medicare benefits(1.21%)

HCPCS/CPT BOOral nutrition administration, not via feeding tube(0.17%)

HCPCS/CPT RRRental of durable medical equipment(0.17%)

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)