HCPCS code E1701 — Repl cushions for jaw motion.
Status: Active.
Effective Jan 1, 1996.
Source: CMS HCPCS Level II.
E1701
ActiveRepl cushions for jaw motion
Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Category:
DME
Section:
E-codes: Durable Medical Equipment
Effective:
Jan 1, 1996
Code type:
alphanumeric
OPPS Status:
Y
— Non-implantable durable medical equipment
MUE — Medically Unlikely Edits
Maximum units of E1701 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 3 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits