ECXAPRO3 ;ALB/JAP - PRO Extract Audit Report (cont) ; APR 25,2006 ;;3.0;DSS EXTRACTS;**21,31,76,94**;Dec 22, 1997 ; TEXT ;description of line numbers as in des^rmprn62 plus summary headers ;;100;WHEELCHAIRS AND ACCESSORIES ;;100 A;MOTORIZED ;;100 A1;SCOOTERS ;;100 B;MANUAL CUSTOM ;;100 C;MANUAL A/O ;;100 D;ACCESSORIES ;;100 E;CUSHION FOAM ;;100 F;CUSHION SPEC ;;100 G;CARRIERS ;;100 H;NSC VAN MODS ;;100 I;SCOOTER ACCESSORIES ;;200;ARTIFICIAL LEGS ;;200 A;LEG IPOP ;;200 B;LEG TEM ;;200 C;LEG PART FOOT ;;200 E;LEG SYMES ;;200 F;LEG B/K ;;200 G;LEG A/O ;;200 H;LEG A/K ;;200 I;LEG COMPONENT ;;300;ARTIFICIAL ARMS AND TERMINAL DEVICES ;;300 A;ARM B/E ;;300 B;ARM, A/E ;;300 C;COSMETIC GLOVES ;;300 D;ARM, A/O ;;300 E;TERMINAL DEVICES ;;300 F;EXT. POWERED,ARM ;;400;BRACES AND ORTHOTICS ;;400 A;BRACE ANKLE ;;400 B;BRACE LEG AK ;;400 C;BRACE, SPINAL ;;400 D;BRACE AL/OTH ;;400 E;ELAS HOSE, EA ;;400 F;BRACES, KNEE ;;400 G;CORSET/BELT ;;400 H;ORTHOSIS WHO ;;400 X;ORTHOTICS UNKNOWN ;;500;SHOES/ORTHOTICS ;;500 A;ARCH SUPT, EA ;;500 B;SHOE INLAY, EA ;;500 C;SHOE MOLDED, EA ;;500 D;SHOE ORTH OTH ;;500 E;INSERTS, SHOE ;;500 F;SHOES A/O, EA ;;600;NEUROSENSORY AIDS ;;600 1;EYEGLASSES PR ;;600 A;SP OVER 2,500 ;;600 B;HEARING AIDS ;;600 C;AID FOR BLIND ;;600 D;CONT LENS, EA. ;;600 E;EAR INSERT ;;600 F;ASST LISTENING DEVICES ;;600 G;SPEECH DEVICES ;;700;RESTORATIONS ;;700 A;EYE ;;700 B;FACIAL ;;700 C;BODY, OTHER ;;800;OXYGEN AND RESPIRATORY ;;800 A;OXYGEN EQP ;;800 B;OXYGEN CONCEN ;;800 C;OXYGEN GAS ;;800 D;OXYGEN, SUPPLIES ;;800 E;OXYGEN LIQUID ;;800 F;VENTILATOR, A/O ;;800 G;RESPIRATORY EQUIPMENT ;;800 H;RESPIRATORY SUPPLIES ;;900;MEDICAL EQUIPMENT ;;900 A;WALKING AIDS ;;900 B;INVALID LIFT ;;900 C;BED HOSP STD ;;900 D;BED HOSP SPEC ;;900 E;MATTRESS STAN ;;900 F;MATTRESS SPEC ;;900 G;BED, ACCESSORIES ;;900 H;ENVIRON CONTR ;;900 I;SPEC HOME EQP (SAFETY) ;;900 J;TENS UNIT ;;900 K;MED EQP AL/OTH ;;900 L;EQP RENTAL ;;900 M;COMPUTER EQUIPMENT ;;900 N;TELEHEALTH ;;910;ALL OTHER SUPPLIES AND EQUIPMENT ;;910 A;MED SUP AL/OTH ;;920;HOME DIALYSIS PROGRAM ;;920 A;HOME DIAL EQP ;;920 B;HOME DIAL SUP ;;930;ADAPTIVE EQUIPMENT ;;930 A;MOD VANS ;;930 B;ADAPT EQP AL/OTH ;;940;HISA ;;940 A;HISA SC ;;940 B;HISA NSC ;;960;SURGICAL IMPLANTS ;;960 A;HEAD & NECK ;;960 A1;H&N INTRAOCULAR LENS ;;960 A2;H&N HEAD ;;960 A3;H&N NECK ;;960 A4;H&N EYES A/O ;;960 B;ABDOMEN ;;960 B1;ABDOMEN STENT ;;960 B2;ABDOMEN MESH ;;960 B3;ABDOMEN CATHETER ;;960 C;UPPER EXTREMITY ;;960 C1;UE ARM ;;960 C2;UE SHOULDER ;;960 C3;UE HAND ;;960 D;LOWER EXTREMITY ;;960 D1;LE HIP ;;960 D2;LE KNEE ;;960 D3;LE FOOT ;;960 E;THORACIC ;;960 E1;THOR PACEMAKER/LEADS ;;960 E2;THOR ICD/LEADS ;;960 E3;THOR STENTS ;;960 E4;THOR VALVE ;;960 F;DENTAL IMPLANT ;;960 G;ALL SCRWS,PLTS, ANCRS, ETC. ;;960 X;SI UNKNOWNS (ALL) ;;999;MISC ;;999 A;AL/OTH ITEMS ;;999 X;HCPCS NOT GRP ;;999 Z;NO HCPCS ;;R07;HEARING AID, LOCAL REPAIRS ;;R10;WHEELCHAIRS AND ACCESSORIES ;;R10 A;WHEELCHAIR ;;R10 B;CARRIERS ;;R10 C;NSC VAN MODS ;;R10 ;WHEELCHAIR ;;R20;ARTIFICIAL LEGS ;;R20 A;LEG A/K ;;R20 B;LEG B/K, PTB ;;R20 C;LEG B/K, STD ;;R20 D;LEG ALL OTHER ;;R30;ARTIFICIAL ARMS AND TERMINAL DEVICES ;;R30 ;ART ARM,TOTAL ;;R40;BRACES AND ORTHOTICS ;;R40 ;BRACE TOTAL ;;R50;SHOES/ORTHOTICS ;;R50 A;ORTH SHOE ALL ;;R50 B;SHOE MOD ;;R50 C;A/O ITEM SERV ;;R60;NEUROSENSORY AIDS ;;R60 A;AID FOR BLIND ;;R60 B;EYEGLASS RPR ;;R60 C;HEARING AID ;;R60 D;ASST LISTENING DEVICE ;;R60 E;SPEECH DEVICES ;;R70;HOME DIALYSIS EQUIPMENT ;;R70 ;HOME DIAL EQU ;;R80;MEDICAL EQUIPMENT ;;R80 A;INVALID LIFTS ;;R80 B;REPAIR TO ECU ;;R80 C;MED EQUIP A/O ;;R80 D;HME DELIVERY/PICKUP ;;R80 E;TELEHEALTH ;;R90;ALL OTHER ;;R90 ;ALL OTHER ;;R90 A;SHIPPING ;;R90 B;TRAINING ;;R91;O2 & RESPIRATORY ;;R91 A;CONCENTRATOR ;;R91 B;VENTILATOR ;;R91 C;EQUIPMENT A/O ;;R91 D;SERVICE VISIT ;;R91 E;COMPRESSED O2 ;;R91 F;LIQUID O2 ;;R91 G;LIQUID DEL SYS ;;R91 H;RESPIRATORY EQUIP ;;R99 A;SHIPPING ;;R99 X;HCPCS NOT GRP ;;R99 Z;NO HCPCS ;;QUIT