Customized item (list in addition to code for basic item)
Short Description: Custom item
Coverage Code: Not payable by Medicare
Action Code: No maintenance for this code
Date Added: July 1, 2001
Effective Date: July 1, 2001
Termination Date:
Short Description: Custom item
Coverage Code: Not payable by Medicare
Action Code: No maintenance for this code
Date Added: July 1, 2001
Effective Date: July 1, 2001
Termination Date: