E0995 Wheelchair accessory, calf rest/pad, replacement only, each...
HCPCS Procedure & Supply Codes
Need more information about E0995? Get access to fees, crosswalks, billing policies, similar codes and much more. Access to this feature is available in the following products:
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Additional Code Information includes:
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Save time with a Professional or Facility subscription! You will be able to see the most common modifiers billed to Medicare along with this code.
HCPCS Index Entries (Reverse Index Lookup) 
reverse_index/reverse_index_content.php?set=HCPCS&c=E0995
View historical information about the code including when it was added, changed, deleted, etc. Access to this feature is available in the following products:
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Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Access to this feature is available in the following products:
Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. |
Medicare Processing Note #0008
THIS PROCESSING NOTE DELETED 1/1/97.
Medicare - Carrier Priced
Subscribers will see related documentation, coding and billing tips. Access to this feature is available in the following products:
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DMEPOS Products (Durable Medical Equipment, Prosthetics, Orthotics, Supplies)
dmepos/dmepos_content.php?set=HCPCS&c=E0995
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
Medicare vs. My Fee Evaluation
| Modifier | Medicare Allowed | 150% | 200% | My Fee |
|---|---|---|---|---|
| NU | $33.22 | $49.83 | $66.44 | (your fee) |
| NU/KE | $4.00 | $6.00 | $8.00 | (your fee) |
| NU/KU | $36.53 | $54.80 | $73.06 | (your fee) |
| RR | $3.35 | $5.03 | $6.70 | (your fee) |
| RR/KE | $0.42 | $0.63 | $0.84 | (your fee) |
| RR/KU | $3.71 | $5.57 | $7.42 | (your fee) |
| UE | $25.06 | $37.59 | $50.12 | (your fee) |
| UE/KE | $3.17 | $4.76 | $6.34 | (your fee) |
| UE/KU | $27.68 | $41.52 | $55.36 | (your fee) |
Access to calculated fee values is available. Access to this feature is available in the following products:
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Medicare Participating - Assignment Accepted (Mandatory)
| Modifier | Allowed | Medicare 80% | Patient Pays |
|---|---|---|---|
| NU | $33.22 | $##.## | $##.## |
| NU/KE | $4.00 | $##.## | $##.## |
| NU/KU | $36.53 | $##.## | $##.## |
| RR | $3.35 | $##.## | $##.## |
| RR/KE | $0.42 | $##.## | $##.## |
| RR/KU | $3.71 | $##.## | $##.## |
| UE | $25.06 | $##.## | $##.## |
| UE/KE | $3.17 | $##.## | $##.## |
| UE/KU | $27.68 | $##.## | $##.## |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| NU | $##.## | $##.## | $##.## | $##.## |
| NU/KE | $##.## | $##.## | $##.## | $##.## |
| NU/KU | $##.## | $##.## | $##.## | $##.## |
| RR | $##.## | $##.## | $##.## | $##.## |
| RR/KE | $##.## | $##.## | $##.## | $##.## |
| RR/KU | $##.## | $##.## | $##.## | $##.## |
| UE | $##.## | $##.## | $##.## | $##.## |
| UE/KE | $##.## | $##.## | $##.## | $##.## |
| UE/KU | $##.## | $##.## | $##.## | $##.## |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| NU | $##.## | $##.## | $##.## | $##.## |
| NU/KE | $##.## | $##.## | $##.## | $##.## |
| NU/KU | $##.## | $##.## | $##.## | $##.## |
| RR | $##.## | $##.## | $##.## | $##.## |
| RR/KE | $##.## | $##.## | $##.## | $##.## |
| RR/KU | $##.## | $##.## | $##.## | $##.## |
| UE | $##.## | $##.## | $##.## | $##.## |
| UE/KE | $##.## | $##.## | $##.## | $##.## |
| UE/KU | $##.## | $##.## | $##.## | $##.## |
Medicare vs. My Fee Evaluation
| Modifier | Medicare Allowed | 150% | 200% | My Fee |
|---|---|---|---|---|
| NU | $33.22 | $49.83 | $66.44 | (your fee) |
| NU/KE | $4.00 | $6.00 | $8.00 | (your fee) |
| NU/KU | $36.53 | $54.80 | $73.06 | (your fee) |
| RR | $3.35 | $5.03 | $6.70 | (your fee) |
| RR/KE | $0.42 | $0.63 | $0.84 | (your fee) |
| RR/KU | $3.71 | $5.57 | $7.42 | (your fee) |
| UE | $25.06 | $37.59 | $50.12 | (your fee) |
| UE/KE | $3.17 | $4.76 | $6.34 | (your fee) |
| UE/KU | $27.68 | $41.52 | $55.36 | (your fee) |
Access to calculated fee values is available. Access to this feature is available in the following products:
Note: Subscribers will see the calculated values below. |
Medicare Participating - Assignment Accepted (Mandatory)
| Modifier | Allowed | Medicare 80% | Patient Pays |
|---|---|---|---|
| NU | $33.22 | $##.## | $##.## |
| NU/KE | $4.00 | $##.## | $##.## |
| NU/KU | $36.53 | $##.## | $##.## |
| RR | $3.35 | $##.## | $##.## |
| RR/KE | $0.42 | $##.## | $##.## |
| RR/KU | $3.71 | $##.## | $##.## |
| UE | $25.06 | $##.## | $##.## |
| UE/KE | $3.17 | $##.## | $##.## |
| UE/KU | $27.68 | $##.## | $##.## |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| NU | $##.## | $##.## | $##.## | $##.## |
| NU/KE | $##.## | $##.## | $##.## | $##.## |
| NU/KU | $##.## | $##.## | $##.## | $##.## |
| RR | $##.## | $##.## | $##.## | $##.## |
| RR/KE | $##.## | $##.## | $##.## | $##.## |
| RR/KU | $##.## | $##.## | $##.## | $##.## |
| UE | $##.## | $##.## | $##.## | $##.## |
| UE/KE | $##.## | $##.## | $##.## | $##.## |
| UE/KU | $##.## | $##.## | $##.## | $##.## |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| NU | $##.## | $##.## | $##.## | $##.## |
| NU/KE | $##.## | $##.## | $##.## | $##.## |
| NU/KU | $##.## | $##.## | $##.## | $##.## |
| RR | $##.## | $##.## | $##.## | $##.## |
| RR/KE | $##.## | $##.## | $##.## | $##.## |
| RR/KU | $##.## | $##.## | $##.## | $##.## |
| UE | $##.## | $##.## | $##.## | $##.## |
| UE/KE | $##.## | $##.## | $##.## | $##.## |
| UE/KU | $##.## | $##.## | $##.## | $##.## |
This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. Access to this feature is available in the following products:
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View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.
Access to this feature is available in the following products:
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View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. Access to this feature is available in the following products:
Note: Subscribers will see the fee graphs below. |
View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Access to this feature is available in the following products:
Note: Subscribers will see the fee graphs below. |
Cross-A-Code™ (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®)
crosswalks/crosswalk_content.php?set=HCPCS&c=E0995
View relationships (or crosswalks) between code sets. Access to this feature is available in the following products:
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Medicare Policies & Guidelines (Articles, LCDs, NCDs)
coverage/coverage_content.php?set=HCPCS&c=E0995
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