E1500 |
|
Centrifuge, for dialysis
short | Centrifuge |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1510 |
|
Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container
short | Kidney dialysate delivry sys |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1520 |
|
Heparin infusion pump for hemodialysis
short | Heparin infusion pump |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1530 |
|
Air bubble detector for hemodialysis, each, replacement
short | Replacement air bubble detec |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1540 |
|
Pressure alarm for hemodialysis, each, replacement
short | Replacement pressure alarm |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1550 |
|
Bath conductivity meter for hemodialysis, each
short | Bath conductivity meter |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1560 |
|
Blood leak detector for hemodialysis, each, replacement
short | Replace blood leak detector |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1570 |
|
Adjustable chair, for esrd patients
short | Adjustable chair for esrd pt |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1575 |
|
Transducer protectors/fluid barriers, for hemodialysis, any size, per 10
short | Transducer protect/fld bar |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1580 |
|
Unipuncture control system for hemodialysis
short | Unipuncture control system |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1590 |
|
Hemodialysis machine
short | Hemodialysis machine |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1592 |
|
Automatic intermittent peritoneal dialysis system
short | Auto interm peritoneal dialy |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1594 |
|
Cycler dialysis machine for peritoneal dialysis
short | Cycler dialysis machine |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1600 |
|
Delivery and/or installation charges for hemodialysis equipment
short | Deli/install chrg hemo equip |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1610 |
|
Reverse osmosis water purification system, for hemodialysis
short | Reverse osmosis h2o puri sys |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1615 |
|
Deionizer water purification system, for hemodialysis
short | Deionizer h2o puri system |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1620 |
|
Blood pump for hemodialysis, replacement
short | Replacement blood pump |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1625 |
|
Water softening system, for hemodialysis
short | Water softening system |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1630 |
|
Reciprocating peritoneal dialysis system
short | Reciprocating peritoneal dia |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1632 |
|
Wearable artificial kidney, each
short | Wearable artificial kidney |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1634 |
|
Peritoneal dialysis clamps, each
short | Peritoneal dialysis clamp |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1635 |
|
Compact (portable) travel hemodialyzer system
short | Compact travel hemodialyzer |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1636 |
|
Sorbent cartridges, for hemodialysis, per 10
short | Sorbent cartridges per 10 |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1637 |
|
Hemostats, each
short | Hemostats for dialysis, each |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1639 |
|
Scale, each
short | Scale, each |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
E1699 |
|
Dialysis equipment, not otherwise specified
short | Dialysis equipment noc |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|