A replacement alkaline battery, 1.5 volt, was provided for the patient-owned external infusion pump

Short Description	Repl batt alkaline 1.5 v
HCPCS Coverage Code	C = Carrier judgment
HCPCS Action Code	N = No maintenance for this code
HCPCS Action Effective Date	April 01, 2003
HCPCS Code Added Date	April 01, 2003
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

Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

Modifier	Medicare Allowed	150%	200%	My Fee
NU	$0.68	$1.02	$1.36	(your fee)

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Find-A-Code Facility Base

Modifier	Allowed	Medicare 80%	Patient Pays
NU	$0.68	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
NU	$##.##	$##.##	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
NU	$##.##	$##.##	$##.##	$##.##

Modifier	Medicare Allowed	150%	200%	My Fee
NU	$0.68	$1.02	$1.36	(your fee)

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Medicare Fees
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Note: Subscribers will see the calculated values below.

Modifier	Allowed	Medicare 80%	Patient Pays
NU	$0.68	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
NU	$##.##	$##.##	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
NU	$##.##	$##.##	$##.##	$##.##

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