| 1 | RMPRN62 ;Hines OIFO/HNC -NPPD CALCULATIONS ;02/14/98 | 
|---|
| 2 | ;;3.0;PROSTHETICS;**31,39,48,50,57,70,84,91,103,134**;Feb 09, 1996;Build 4 | 
|---|
| 3 | ; | 
|---|
| 4 | ; ODJ - patch 50 - 7/28/00 - add line label REP to mark start of | 
|---|
| 5 | ;                            repair lines. | 
|---|
| 6 | ; HNC - patch 57 - 4/5/01 - add Dental Implant | 
|---|
| 7 | ; | 
|---|
| 8 | ; AAC - Patch 84 - 02-25-04; additions, deletions and change descriptions for Groups and lines | 
|---|
| 9 | ; AAC - patch 84 - add new lines 100 H,100 I,400 H,900 N,910 B,R10 A,R10 B,R10 C,R60 D. | 
|---|
| 10 | ; AAC - patch 84 - change desc -100 D,100 G,900 I,900 J,R20 B,R20 C,R91 F. | 
|---|
| 11 | ; | 
|---|
| 12 | ; AAC - Patch 91 - 06/23/04 -  NPPD line R10, no longer used, but keep in display as historical listing. | 
|---|
| 13 | ; | 
|---|
| 14 | ; AAC - Patch 103 - 01/17/05 - NPPD Categories/lines - New and Repair | 
|---|
| 15 | ; | 
|---|
| 16 | ; AAC - Patch 133 - 01/25/07 - NPPD Categories/lines - New and Repair | 
|---|
| 17 | ; | 
|---|
| 18 | ;build array or tmp | 
|---|
| 19 | DES ;description of line numbers | 
|---|
| 20 | ;;100 A;MOTORIZED | 
|---|
| 21 | ;;100 A1;SCOOTERS | 
|---|
| 22 | ;;100 B;MANUAL CUSTOM | 
|---|
| 23 | ;;100 C;STANDARD | 
|---|
| 24 | ;;100 D;WC ACCESSORIES | 
|---|
| 25 | ;;100 E;CUSHION FOAM | 
|---|
| 26 | ;;100 F;CUSHION SPEC | 
|---|
| 27 | ;;100 G;LIFTS(INCLUDING WC,SCOOTERS) | 
|---|
| 28 | ;;100 H;NSC VAN MOD | 
|---|
| 29 | ;;100 I;SCOOTER ACCESSORIES | 
|---|
| 30 | ;;200 A;LEG IPOP | 
|---|
| 31 | ;;200 B;LEG TEM | 
|---|
| 32 | ;;200 C;LEG PART FOOT | 
|---|
| 33 | ;;200 E;LEG SYMES | 
|---|
| 34 | ;;200 F;LEG B/K | 
|---|
| 35 | ;;200 G;LEG A/O | 
|---|
| 36 | ;;200 H;LEG A/K | 
|---|
| 37 | ;;200 I;LEG COMPONENT | 
|---|
| 38 | ;;300 A;ARM B/E | 
|---|
| 39 | ;;300 B;ARM A/E | 
|---|
| 40 | ;;300 C;COSMETIC GLOVES | 
|---|
| 41 | ;;300 D;ARM A/O | 
|---|
| 42 | ;;300 E;TERMINAL DEVICES | 
|---|
| 43 | ;;300 F;EXT.POWERED,ARM | 
|---|
| 44 | ;;400 A;ORTHOSIS ANKLE | 
|---|
| 45 | ;;400 B;ORTHOSIS LEG AK | 
|---|
| 46 | ;;400 C;ORTHOSIS, SPINAL | 
|---|
| 47 | ;;400 D;ORTHOSIS AL/OTH | 
|---|
| 48 | ;;400 E;ELAS HOSE, EA | 
|---|
| 49 | ;;400 F;ORTHOSIS, KNEE | 
|---|
| 50 | ;;400 G;CORSET/BELT | 
|---|
| 51 | ;;400 H;ORTHOSIS,WHO | 
|---|
| 52 | ;;400 X;ORTHOSIS UNKNOWN | 
|---|
| 53 | ;;500 A;ARCH SUPT, EA | 
|---|
| 54 | ;;500 B;SHOE INLAY, EA | 
|---|
| 55 | ;;500 C;SHOE MOLDED, EA | 
|---|
| 56 | ;;500 D;SHOE ORTH OTH | 
|---|
| 57 | ;;500 E;INSERTS, SHOE | 
|---|
| 58 | ;;500 F;SHOES A/O, EA | 
|---|
| 59 | ;;600 1;EYEGLASSES PR | 
|---|
| 60 | ;;600 A;* NO LONGER USED * | 
|---|
| 61 | ;;600 B;HEAR AID & ACCESS | 
|---|
| 62 | ;;600 C;AID FOR BLIND | 
|---|
| 63 | ;;600 D;CONT LENS, EA. | 
|---|
| 64 | ;;600 E;EAR INSERT/MOLD | 
|---|
| 65 | ;;600 F;ASSIST LISTEN DEVICES | 
|---|
| 66 | ;;600 G;SPEECH DEVICES | 
|---|
| 67 | ;;700 A;EYE | 
|---|
| 68 | ;;700 B;FACIAL | 
|---|
| 69 | ;;700 C;BODY, OTHER | 
|---|
| 70 | ;;700 D;BREAST PROSTHESIS | 
|---|
| 71 | ;;800 A;OXYGEN EQP | 
|---|
| 72 | ;;800 B;OXYGEN CONCEN | 
|---|
| 73 | ;;800 C;MOVED TO REPAIR | 
|---|
| 74 | ;;800 D;OXYGEN, SUPPLIES | 
|---|
| 75 | ;;800 E;MOVED TO REPAIR | 
|---|
| 76 | ;;800 F;VENTILATOR, A/O | 
|---|
| 77 | ;;800 G;RESPIRATORY EQUIPMENT | 
|---|
| 78 | ;;800 H;RESPIRATORY SUPPLIES | 
|---|
| 79 | ;;900 A;WALKING AIDS | 
|---|
| 80 | ;;900 B;PATIENT LIFT | 
|---|
| 81 | ;;900 C;BED HOSP STD | 
|---|
| 82 | ;;900 D;BED HOSP SPEC | 
|---|
| 83 | ;;900 E;MATTRESS STAN | 
|---|
| 84 | ;;900 F;MATTRESS SPEC | 
|---|
| 85 | ;;900 G;BED, ACCESSORIES | 
|---|
| 86 | ;;900 H;ENVIRON CONTR | 
|---|
| 87 | ;;900 I;HOME SAFETY EQUIPMENT | 
|---|
| 88 | ;;900 J;* NO LONGER USED * | 
|---|
| 89 | ;;900 K;MED EQP AL/OTH | 
|---|
| 90 | ;;900 L;* NO LONGER USED * | 
|---|
| 91 | ;;900 M;COMPUTER EQUIP | 
|---|
| 92 | ;;900 N;TELEHEALTH | 
|---|
| 93 | ;;910 A;MED SUP AL/OTH | 
|---|
| 94 | ;;910 B;BATTERIES | 
|---|
| 95 | ;;920 A;HOME DIAL EQP | 
|---|
| 96 | ;;920 B;HOME DIAL SUP | 
|---|
| 97 | ;;930 A;MOD VANS | 
|---|
| 98 | ;;930 B;ADAPT EQP AL/OTH | 
|---|
| 99 | ;;940 A;HISA SC | 
|---|
| 100 | ;;940 B;HISA NSC | 
|---|
| 101 | ;;960 A; H&N ALL OTHER | 
|---|
| 102 | ;;960 A1; H&N INTRAOCULAR LENS | 
|---|
| 103 | ;;960 A2; H&N HEAD | 
|---|
| 104 | ;;960 A3; H&N NECK | 
|---|
| 105 | ;;960 A4; H&N EYES A/O | 
|---|
| 106 | ;;960 B; ABDOMEN ALL OTHER | 
|---|
| 107 | ;;960 B1; ABDOMEN STENT | 
|---|
| 108 | ;;960 B2; ABDOMEN MESH | 
|---|
| 109 | ;;960 B3; ABDOMEN CATHETER | 
|---|
| 110 | ;;960 C; UE ALL OTHER | 
|---|
| 111 | ;;960 C1; UE ARM | 
|---|
| 112 | ;;960 C2; UE SHOULDER | 
|---|
| 113 | ;;960 C3; UE HAND | 
|---|
| 114 | ;;960 D; LE ALL OTHER | 
|---|
| 115 | ;;960 D1; LE HIP | 
|---|
| 116 | ;;960 D2; LE KNEE | 
|---|
| 117 | ;;960 D3; LE FOOT | 
|---|
| 118 | ;;960 E; THORACIC ALL OTHER | 
|---|
| 119 | ;;960 E1; THOR PACEMAKER/LEADS | 
|---|
| 120 | ;;960 E2; THOR ICD/LEADS | 
|---|
| 121 | ;;960 E3; THOR STENTS | 
|---|
| 122 | ;;960 E4; THOR VALVES | 
|---|
| 123 | ;;960 F; DENTAL IMPLANTS | 
|---|
| 124 | ;;960 G; ALL SCRWS,PLTS,ANCRS,ETC. | 
|---|
| 125 | ;;960 X; SI UNKNOWNS(ALL) | 
|---|
| 126 | ;;999 A;AL/OTH ITEMS | 
|---|
| 127 | ;;999 P1;PEDS DME | 
|---|
| 128 | ;;999 P2;ALL OTHER PEDS | 
|---|
| 129 | ;;999 X;HCPCS NOT GRP | 
|---|
| 130 | ;;999 Z;NO HCPCS | 
|---|
| 131 | REP ;;R10;* NO LONGER USED * | 
|---|
| 132 | ;;R10 A;WHEELCHAIR | 
|---|
| 133 | ;;R10 B;LIFTS | 
|---|
| 134 | ;;R10 C;NSC VAN MOD | 
|---|
| 135 | ;;R20 A;LEG A/K | 
|---|
| 136 | ;;R20 B;* NO LONGER USED * | 
|---|
| 137 | ;;R20 C;LEG B/K | 
|---|
| 138 | ;;R20 D;LEG ALL OTHER | 
|---|
| 139 | ;;R30;ART ARM,TOTAL | 
|---|
| 140 | ;;R40;ORTHOSIS TOTAL | 
|---|
| 141 | ;;R50 A;ORTH SHOE ALL | 
|---|
| 142 | ;;R50 B;SHOE MOD | 
|---|
| 143 | ;;R50 C;A/O ITEM SERV | 
|---|
| 144 | ;;R60 A;AID FOR BLIND | 
|---|
| 145 | ;;R60 B;EYEGLASS RPR | 
|---|
| 146 | ;;R60 C;HEAR AID & ACCESS | 
|---|
| 147 | ;;R60 D;ASSISTIVE LISTENING DEVICES | 
|---|
| 148 | ;;R70;HOME DIAL EQU | 
|---|
| 149 | ;;R80 A;PATIENT LIFTS | 
|---|
| 150 | ;;R80 B;REPAIR TO ECU | 
|---|
| 151 | ;;R80 C;MED EQUIP A/O | 
|---|
| 152 | ;;R80 D;HME DELIVERY/PU | 
|---|
| 153 | ;;R80 E;TELEHEALTH | 
|---|
| 154 | ;;R90;ALL OTHER | 
|---|
| 155 | ;;R90 A;SHIPPING | 
|---|
| 156 | ;;R90 B;TRAINING | 
|---|
| 157 | ;;R91 A;CONCENTRATOR | 
|---|
| 158 | ;;R91 B;VENTILATOR | 
|---|
| 159 | ;;R91 C;EQUIPMENT A/O | 
|---|
| 160 | ;;R91 D;SERVICE VISIT | 
|---|
| 161 | ;;R91 E;COMPRESSED O2 | 
|---|
| 162 | ;;R91 F;LIQUID O2(LBS) | 
|---|
| 163 | ;;R91 G;LIQUID DELIVERY SYSTEM | 
|---|
| 164 | ;;R91 H;RESPIRATORY EQUIP | 
|---|
| 165 | ;;R92 A;VAN MODS | 
|---|
| 166 | ;;R92 B;AUTO ADPT EQUIP | 
|---|
| 167 | ;;R99 A;SHIPPING | 
|---|
| 168 | ;;R99 P;MISC PEDS | 
|---|
| 169 | ;;R99 X;HCPCS NOT GRP | 
|---|
| 170 | ;;R99 Z;NO HCPCS | 
|---|
| 171 | ;;END | 
|---|