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HCPCS Code: Left foot, fourth digit Left foot, fourth digit

HCPCS Code: Rn home care per diem Nursing care, in the home, by registered nurse, per diem

HCPCS Code: Disposable liner/shield/pad Disposable liner/shield/guard/pad/undergarment, for incontinence, each

HCPCS Code: Habil res waiver 15 min Habilitation, residential, waiver; 15 minutes

HCPCS Code: N-et; stretcher van, mileage Non-emergency transportation; stretcher van, mileage; per mile

HCPCS Code: Res care, nos waiver/month Residential care, not otherwise specified (nos), waiver; per month

HCPCS Code: Reusable underpad chair size Incontinence product, protective underpad, reusable, chair size, each

HCPCS Code: Adult size brief/diaper lg Adult sized disposable incontinence product, brief/diaper, large, each

HCPCS Code: Adult disp brief/diap abv xl Adult sized disposable incontinence product, protective brief/diaper, above extra large, each

HCPCS Code: Lpn/lvn Lpn/lvn

HCPCS Code: Case management Case management, each 15 minutes

HCPCS Code: Right foot, great toe Right foot, great toe

HCPCS Code: Meals when receive services Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)

HCPCS Code: Rural/out of service area Rural/outside providers' customary service area

HCPCS Code: Assist living waiver/diem Assisted living; waiver, per diem

HCPCS Code: Holiday/weekend payment rate Special payment rates, holidays/weekends

HCPCS Code: Targeted case management Targeted case management, each 15 minutes

HCPCS Code: Special childcare waiver/d Specialized childcare, waiver; per diem

HCPCS Code: N-et; commerc carrier pass Non-emergency transport; commercial carrier, multi-pass

HCPCS Code: Dwelling lead investigation Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling

HCPCS Code: Ped compr care pkg, per diem Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem

HCPCS Code: Serv asmnt/care plan waiver Service assessment/plan of care development, waiver

HCPCS Code: Nursing assessment/evaluatn Nursing assessment / evaluation

HCPCS Code: Lpn home care per diem Nursing care, in the home, by licensed practical nurse, per diem

HCPCS Code: Youth size brief/diaper Youth sized disposable incontinence product, brief/diaper, each

HCPCS Code: Camp overnite waiver/session Therapeutic camping, overnight, waiver; each session

HCPCS Code: Personal care ser per 15 min Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)

HCPCS Code: Back-up equipment Back-up equipment

HCPCS Code: Hospice respite care Hospice inpatient respite care; per diem

HCPCS Code: Med transprt unloaded vehicl Medical transport, unloaded vehicle

Table of Drugs: T49.0X1 T49.0X2 T49.0X3 T49.0X4 T49.0X5

Table of Drugs: T63.311 T63.312 T63.313 T63.314

Table of Drugs: T49.3X1 T49.3X2 T49.3X3 T49.3X4 T49.3X5

Table of Drugs: T45.1X1 T45.1X2 T45.1X3 T45.1X4 T45.1X5

Table of Drugs: T41.0X1 T41.0X2 T41.0X3 T41.0X4 T41.0X5

Table of Drugs: T65.3X1 T65.3X2 T65.3X3 T65.3X4

Table of Drugs: T37.8X1 T37.8X2 T37.8X3 T37.8X4 T37.8X5

Table of Drugs: T52.4X1 T52.4X2 T52.4X3 T52.4X4

Table of Drugs: T39.91 T39.92 T39.93 T39.94 T39.95

Table of Drugs: T46.6X1 T46.6X2 T46.6X3 T46.6X4 T46.6X5