Section 242.100. HCPCS Procedure Codes.
- 016.06.48–242.105. Payment Methodology
- 016.06.48–242.110 Respiratory and Diabetic Equipment, All Ages
- 016.06.48–242.111 Initial Rental of a Dme Item for Individuals of All Ages
- 016.06.48–242.112 Home Blood Glucose Monitor and Supplies — Pregnant Women Only, All Ages
- 016.06.48–242.113. Continuous Glucose Monitors
- 016.06.48–242.120 Medical Supplies for Beneficiaries of All Ages
- 016.06.48–242.121 Food Thickeners, All Ages
- 016.06.48–242.122 Jobst Stocking for Beneficiaries of All Ages
- 016.06.48–242.123 Negative Pressure Wound Therapy Pump Accessories and Supplies for Beneficiaries Ages 2 Years and Older
- 016.06.48–242.130 Diapers and Underpads for Beneficiaries Ages 3 Years and Older
- 016.06.48–242.140 Electronic Blood Pressure Monitor and Cuff, All Ages
- 016.06.48–242.150 Nutritional Formulae for Child Health Services (EPSDT) Beneficiaries Under Twenty-One (21) Years of Age
- 016.06.48–242.151 Pedia-Pop
- 016.06.48–242.152 Enteral Nutrition Infusion Pump and Enteral Feeding Pump Supply Kit
- 016.06.48–242.153 Low-Profile Skin Level Gastrostomy Tube (Low-Profile Button) and Low-Profile Percutaneous Cecostomy Tube and Supplies for Beneficiaries of All Ages
- 016.06.48–242.154 Nasogastric Tubing for Individuals Under Age 21
- 016.06.48–242.155 Billing and Reimbursement Protocol for FM (Frequency Modulation) System and Replacement Cochlear Implant Parts
- 016.06.48–242.160 Durable Medical Equipment, All Ages
- 016.06.48–242.161. Reserved
- 016.06.48–242.170 Apnea Monitors for Beneficiaries Under 1 Year of Age
- 016.06.48–242.180 Orthotic Appliances for Beneficiaries of All Ages
- 016.06.48–242.190 Prosthetic Devices for Beneficiaries of All Ages
- 016.06.48–242.191 Specialized Wheelchairs and Wheelchair Seating Systems for Individuals Age Two Through Adult
- 016.06.48–242.192 Specialized Rehabilitative Equipment for Beneficiaries of All Ages
- 016.06.48–242.193 Speech Generating Device for Beneficiaries of All Ages
- 016.06.48–242.194. Replacement, Growth and Modification of Specialized Wheelchairs and Wheelchair Seating Systems
- 016.06.48–242.195 Repairs of Specialized Wheelchairs and Wheelchair Systems
- 016.06.48–242.200. National Place of Service and Modifier Codes
- 016.06.48–242.300. Billing Instructions — Paper Only
- 016.06.48–242.310. Completion of CMS-1500 Claim Form