[613] | 1 | RMPRN62 ;Hines OIFO/HNC -NPPD CALCULATIONS ;02/14/98
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| 2 | ;;3.0;PROSTHETICS;**31,39,48,50,57,70,84,91,103,134**;Feb 09, 1996;Build 4
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| 3 | ;
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| 4 | ; ODJ - patch 50 - 7/28/00 - add line label REP to mark start of
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| 5 | ; repair lines.
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| 6 | ; HNC - patch 57 - 4/5/01 - add Dental Implant
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| 7 | ;
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| 8 | ; AAC - Patch 84 - 02-25-04; additions, deletions and change descriptions for Groups and lines
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| 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.
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| 10 | ; AAC - patch 84 - change desc -100 D,100 G,900 I,900 J,R20 B,R20 C,R91 F.
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| 11 | ;
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| 12 | ; AAC - Patch 91 - 06/23/04 - NPPD line R10, no longer used, but keep in display as historical listing.
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| 13 | ;
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| 14 | ; AAC - Patch 103 - 01/17/05 - NPPD Categories/lines - New and Repair
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| 15 | ;
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| 16 | ; AAC - Patch 133 - 01/25/07 - NPPD Categories/lines - New and Repair
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| 17 | ;
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| 18 | ;build array or tmp
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| 19 | DES ;description of line numbers
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| 20 | ;;100 A;MOTORIZED
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| 21 | ;;100 A1;SCOOTERS
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| 22 | ;;100 B;MANUAL CUSTOM
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| 23 | ;;100 C;STANDARD
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| 24 | ;;100 D;WC ACCESSORIES
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| 25 | ;;100 E;CUSHION FOAM
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| 26 | ;;100 F;CUSHION SPEC
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| 27 | ;;100 G;LIFTS(INCLUDING WC,SCOOTERS)
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| 28 | ;;100 H;NSC VAN MOD
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| 29 | ;;100 I;SCOOTER ACCESSORIES
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| 30 | ;;200 A;LEG IPOP
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| 31 | ;;200 B;LEG TEM
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| 32 | ;;200 C;LEG PART FOOT
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| 33 | ;;200 E;LEG SYMES
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| 34 | ;;200 F;LEG B/K
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| 35 | ;;200 G;LEG A/O
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| 36 | ;;200 H;LEG A/K
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| 37 | ;;200 I;LEG COMPONENT
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| 38 | ;;300 A;ARM B/E
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| 39 | ;;300 B;ARM A/E
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| 40 | ;;300 C;COSMETIC GLOVES
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| 41 | ;;300 D;ARM A/O
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| 42 | ;;300 E;TERMINAL DEVICES
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| 43 | ;;300 F;EXT.POWERED,ARM
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| 44 | ;;400 A;ORTHOSIS ANKLE
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| 45 | ;;400 B;ORTHOSIS LEG AK
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| 46 | ;;400 C;ORTHOSIS, SPINAL
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| 47 | ;;400 D;ORTHOSIS AL/OTH
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| 48 | ;;400 E;ELAS HOSE, EA
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| 49 | ;;400 F;ORTHOSIS, KNEE
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| 50 | ;;400 G;CORSET/BELT
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| 51 | ;;400 H;ORTHOSIS,WHO
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| 52 | ;;400 X;ORTHOSIS UNKNOWN
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| 53 | ;;500 A;ARCH SUPT, EA
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| 54 | ;;500 B;SHOE INLAY, EA
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| 55 | ;;500 C;SHOE MOLDED, EA
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| 56 | ;;500 D;SHOE ORTH OTH
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| 57 | ;;500 E;INSERTS, SHOE
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| 58 | ;;500 F;SHOES A/O, EA
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| 59 | ;;600 1;EYEGLASSES PR
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| 60 | ;;600 A;* NO LONGER USED *
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| 61 | ;;600 B;HEAR AID & ACCESS
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| 62 | ;;600 C;AID FOR BLIND
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| 63 | ;;600 D;CONT LENS, EA.
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| 64 | ;;600 E;EAR INSERT/MOLD
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| 65 | ;;600 F;ASSIST LISTEN DEVICES
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| 66 | ;;600 G;SPEECH DEVICES
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| 67 | ;;700 A;EYE
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| 68 | ;;700 B;FACIAL
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| 69 | ;;700 C;BODY, OTHER
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| 70 | ;;700 D;BREAST PROSTHESIS
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| 71 | ;;800 A;OXYGEN EQP
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| 72 | ;;800 B;OXYGEN CONCEN
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| 73 | ;;800 C;MOVED TO REPAIR
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| 74 | ;;800 D;OXYGEN, SUPPLIES
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| 75 | ;;800 E;MOVED TO REPAIR
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| 76 | ;;800 F;VENTILATOR, A/O
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| 77 | ;;800 G;RESPIRATORY EQUIPMENT
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| 78 | ;;800 H;RESPIRATORY SUPPLIES
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| 79 | ;;900 A;WALKING AIDS
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| 80 | ;;900 B;PATIENT LIFT
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| 81 | ;;900 C;BED HOSP STD
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| 82 | ;;900 D;BED HOSP SPEC
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| 83 | ;;900 E;MATTRESS STAN
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| 84 | ;;900 F;MATTRESS SPEC
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| 85 | ;;900 G;BED, ACCESSORIES
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| 86 | ;;900 H;ENVIRON CONTR
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| 87 | ;;900 I;HOME SAFETY EQUIPMENT
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| 88 | ;;900 J;* NO LONGER USED *
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| 89 | ;;900 K;MED EQP AL/OTH
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| 90 | ;;900 L;* NO LONGER USED *
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| 91 | ;;900 M;COMPUTER EQUIP
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| 92 | ;;900 N;TELEHEALTH
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| 93 | ;;910 A;MED SUP AL/OTH
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| 94 | ;;910 B;BATTERIES
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| 95 | ;;920 A;HOME DIAL EQP
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| 96 | ;;920 B;HOME DIAL SUP
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| 97 | ;;930 A;MOD VANS
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| 98 | ;;930 B;ADAPT EQP AL/OTH
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| 99 | ;;940 A;HISA SC
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| 100 | ;;940 B;HISA NSC
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| 101 | ;;960 A; H&N ALL OTHER
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| 102 | ;;960 A1; H&N INTRAOCULAR LENS
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| 103 | ;;960 A2; H&N HEAD
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| 104 | ;;960 A3; H&N NECK
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| 105 | ;;960 A4; H&N EYES A/O
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| 106 | ;;960 B; ABDOMEN ALL OTHER
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| 107 | ;;960 B1; ABDOMEN STENT
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| 108 | ;;960 B2; ABDOMEN MESH
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| 109 | ;;960 B3; ABDOMEN CATHETER
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| 110 | ;;960 C; UE ALL OTHER
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| 111 | ;;960 C1; UE ARM
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| 112 | ;;960 C2; UE SHOULDER
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| 113 | ;;960 C3; UE HAND
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| 114 | ;;960 D; LE ALL OTHER
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| 115 | ;;960 D1; LE HIP
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| 116 | ;;960 D2; LE KNEE
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| 117 | ;;960 D3; LE FOOT
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| 118 | ;;960 E; THORACIC ALL OTHER
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| 119 | ;;960 E1; THOR PACEMAKER/LEADS
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| 120 | ;;960 E2; THOR ICD/LEADS
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| 121 | ;;960 E3; THOR STENTS
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| 122 | ;;960 E4; THOR VALVES
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| 123 | ;;960 F; DENTAL IMPLANTS
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| 124 | ;;960 G; ALL SCRWS,PLTS,ANCRS,ETC.
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| 125 | ;;960 X; SI UNKNOWNS(ALL)
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| 126 | ;;999 A;AL/OTH ITEMS
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| 127 | ;;999 P1;PEDS DME
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| 128 | ;;999 P2;ALL OTHER PEDS
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| 129 | ;;999 X;HCPCS NOT GRP
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| 130 | ;;999 Z;NO HCPCS
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| 131 | REP ;;R10;* NO LONGER USED *
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| 132 | ;;R10 A;WHEELCHAIR
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| 133 | ;;R10 B;LIFTS
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| 134 | ;;R10 C;NSC VAN MOD
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| 135 | ;;R20 A;LEG A/K
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| 136 | ;;R20 B;* NO LONGER USED *
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| 137 | ;;R20 C;LEG B/K
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| 138 | ;;R20 D;LEG ALL OTHER
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| 139 | ;;R30;ART ARM,TOTAL
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| 140 | ;;R40;ORTHOSIS TOTAL
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| 141 | ;;R50 A;ORTH SHOE ALL
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| 142 | ;;R50 B;SHOE MOD
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| 143 | ;;R50 C;A/O ITEM SERV
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| 144 | ;;R60 A;AID FOR BLIND
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| 145 | ;;R60 B;EYEGLASS RPR
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| 146 | ;;R60 C;HEAR AID & ACCESS
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| 147 | ;;R60 D;ASSISTIVE LISTENING DEVICES
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| 148 | ;;R70;HOME DIAL EQU
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| 149 | ;;R80 A;PATIENT LIFTS
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| 150 | ;;R80 B;REPAIR TO ECU
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| 151 | ;;R80 C;MED EQUIP A/O
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| 152 | ;;R80 D;HME DELIVERY/PU
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| 153 | ;;R80 E;TELEHEALTH
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| 154 | ;;R90;ALL OTHER
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| 155 | ;;R90 A;SHIPPING
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| 156 | ;;R90 B;TRAINING
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| 157 | ;;R91 A;CONCENTRATOR
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| 158 | ;;R91 B;VENTILATOR
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| 159 | ;;R91 C;EQUIPMENT A/O
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| 160 | ;;R91 D;SERVICE VISIT
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| 161 | ;;R91 E;COMPRESSED O2
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| 162 | ;;R91 F;LIQUID O2(LBS)
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| 163 | ;;R91 G;LIQUID DELIVERY SYSTEM
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| 164 | ;;R91 H;RESPIRATORY EQUIP
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| 165 | ;;R92 A;VAN MODS
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| 166 | ;;R92 B;AUTO ADPT EQUIP
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| 167 | ;;R99 A;SHIPPING
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| 168 | ;;R99 P;MISC PEDS
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| 169 | ;;R99 X;HCPCS NOT GRP
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| 170 | ;;R99 Z;NO HCPCS
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| 171 | ;;END
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