2024 HCPCS Code E1701

Replacement cushions for jaw motion rehabilitation system, pkg. of 6

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 Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0