ECXAPRO3 ;ALB/JAP - PRO Extract Audit Report (cont) ; DEC 03,2008
;;3.0;DSS EXTRACTS;**21,31,76,94,116,149**;Dec 22, 1997;Build 27
;
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
;;700 D;BREAST PROSTHESIS
;;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
;;900 O;EXERCISE EQUIPMENT
;;900 P;WOMENS HEALTH
;;910;ALL OTHER SUPPLIES AND EQUIPMENT
;;910 A;MED SUP AL/OTH
;;910 B;BATTERIES
;;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)
;;970;BIO IMPLANTS
;;970 A;BIOLOGICAL IMPLANTS
;;999;MISC
;;999 A;AL/OTH ITEMS
;;999 P1;PEDS DME
;;999 P2;ALL OTHER PEDS
;;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
;;R80 F;COMPUTERS
;;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 B;NONRESPONSE
;;R99 P;MISC PEDS
;;R99 X;HCPCS NOT GRP
;;R99 Z;NO HCPCS
;;QUIT
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HECXAPRO3 4569 printed Sep 23, 2025@19:28:16 Page 2
ECXAPRO3 ;ALB/JAP - PRO Extract Audit Report (cont) ; DEC 03,2008
+1 ;;3.0;DSS EXTRACTS;**21,31,76,94,116,149**;Dec 22, 1997;Build 27
+2 ;
TEXT ;description of line numbers as in des^rmprn62 plus summary headers
+1 ;;100;WHEELCHAIRS AND ACCESSORIES
+2 ;;100 A;MOTORIZED
+3 ;;100 A1;SCOOTERS
+4 ;;100 B;MANUAL CUSTOM
+5 ;;100 C;MANUAL A/O
+6 ;;100 D;ACCESSORIES
+7 ;;100 E;CUSHION FOAM
+8 ;;100 F;CUSHION SPEC
+9 ;;100 G;CARRIERS
+10 ;;100 H;NSC VAN MODS
+11 ;;100 I;SCOOTER ACCESSORIES
+12 ;;200;ARTIFICIAL LEGS
+13 ;;200 A;LEG IPOP
+14 ;;200 B;LEG TEM
+15 ;;200 C;LEG PART FOOT
+16 ;;200 E;LEG SYMES
+17 ;;200 F;LEG B/K
+18 ;;200 G;LEG A/O
+19 ;;200 H;LEG A/K
+20 ;;200 I;LEG COMPONENT
+21 ;;300;ARTIFICIAL ARMS AND TERMINAL DEVICES
+22 ;;300 A;ARM B/E
+23 ;;300 B;ARM, A/E
+24 ;;300 C;COSMETIC GLOVES
+25 ;;300 D;ARM, A/O
+26 ;;300 E;TERMINAL DEVICES
+27 ;;300 F;EXT. POWERED,ARM
+28 ;;400;BRACES AND ORTHOTICS
+29 ;;400 A;BRACE ANKLE
+30 ;;400 B;BRACE LEG AK
+31 ;;400 C;BRACE, SPINAL
+32 ;;400 D;BRACE AL/OTH
+33 ;;400 E;ELAS HOSE, EA
+34 ;;400 F;BRACES, KNEE
+35 ;;400 G;CORSET/BELT
+36 ;;400 H;ORTHOSIS WHO
+37 ;;400 X;ORTHOTICS UNKNOWN
+38 ;;500;SHOES/ORTHOTICS
+39 ;;500 A;ARCH SUPT, EA
+40 ;;500 B;SHOE INLAY, EA
+41 ;;500 C;SHOE MOLDED, EA
+42 ;;500 D;SHOE ORTH OTH
+43 ;;500 E;INSERTS, SHOE
+44 ;;500 F;SHOES A/O, EA
+45 ;;600;NEUROSENSORY AIDS
+46 ;;600 1;EYEGLASSES PR
+47 ;;600 A;SP OVER 2,500
+48 ;;600 B;HEARING AIDS
+49 ;;600 C;AID FOR BLIND
+50 ;;600 D;CONT LENS, EA.
+51 ;;600 E;EAR INSERT
+52 ;;600 F;ASST LISTENING DEVICES
+53 ;;600 G;SPEECH DEVICES
+54 ;;700;RESTORATIONS
+55 ;;700 A;EYE
+56 ;;700 B;FACIAL
+57 ;;700 C;BODY, OTHER
+58 ;;700 D;BREAST PROSTHESIS
+59 ;;800;OXYGEN AND RESPIRATORY
+60 ;;800 A;OXYGEN EQP
+61 ;;800 B;OXYGEN CONCEN
+62 ;;800 C;OXYGEN GAS
+63 ;;800 D;OXYGEN, SUPPLIES
+64 ;;800 E;OXYGEN LIQUID
+65 ;;800 F;VENTILATOR, A/O
+66 ;;800 G;RESPIRATORY EQUIPMENT
+67 ;;800 H;RESPIRATORY SUPPLIES
+68 ;;900;MEDICAL EQUIPMENT
+69 ;;900 A;WALKING AIDS
+70 ;;900 B;INVALID LIFT
+71 ;;900 C;BED HOSP STD
+72 ;;900 D;BED HOSP SPEC
+73 ;;900 E;MATTRESS STAN
+74 ;;900 F;MATTRESS SPEC
+75 ;;900 G;BED, ACCESSORIES
+76 ;;900 H;ENVIRON CONTR
+77 ;;900 I;SPEC HOME EQP (SAFETY)
+78 ;;900 J;TENS UNIT
+79 ;;900 K;MED EQP AL/OTH
+80 ;;900 L;EQP RENTAL
+81 ;;900 M;COMPUTER EQUIPMENT
+82 ;;900 N;TELEHEALTH
+83 ;;900 O;EXERCISE EQUIPMENT
+84 ;;900 P;WOMENS HEALTH
+85 ;;910;ALL OTHER SUPPLIES AND EQUIPMENT
+86 ;;910 A;MED SUP AL/OTH
+87 ;;910 B;BATTERIES
+88 ;;920;HOME DIALYSIS PROGRAM
+89 ;;920 A;HOME DIAL EQP
+90 ;;920 B;HOME DIAL SUP
+91 ;;930;ADAPTIVE EQUIPMENT
+92 ;;930 A;MOD VANS
+93 ;;930 B;ADAPT EQP AL/OTH
+94 ;;940;HISA
+95 ;;940 A;HISA SC
+96 ;;940 B;HISA NSC
+97 ;;960;SURGICAL IMPLANTS
+98 ;;960 A;HEAD & NECK
+99 ;;960 A1;H&N INTRAOCULAR LENS
+100 ;;960 A2;H&N HEAD
+101 ;;960 A3;H&N NECK
+102 ;;960 A4;H&N EYES A/O
+103 ;;960 B;ABDOMEN
+104 ;;960 B1;ABDOMEN STENT
+105 ;;960 B2;ABDOMEN MESH
+106 ;;960 B3;ABDOMEN CATHETER
+107 ;;960 C;UPPER EXTREMITY
+108 ;;960 C1;UE ARM
+109 ;;960 C2;UE SHOULDER
+110 ;;960 C3;UE HAND
+111 ;;960 D;LOWER EXTREMITY
+112 ;;960 D1;LE HIP
+113 ;;960 D2;LE KNEE
+114 ;;960 D3;LE FOOT
+115 ;;960 E;THORACIC
+116 ;;960 E1;THOR PACEMAKER/LEADS
+117 ;;960 E2;THOR ICD/LEADS
+118 ;;960 E3;THOR STENTS
+119 ;;960 E4;THOR VALVE
+120 ;;960 F;DENTAL IMPLANT
+121 ;;960 G;ALL SCRWS,PLTS, ANCRS, ETC.
+122 ;;960 X;SI UNKNOWNS (ALL)
+123 ;;970;BIO IMPLANTS
+124 ;;970 A;BIOLOGICAL IMPLANTS
+125 ;;999;MISC
+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 ;;R07;HEARING AID, LOCAL REPAIRS
+132 ;;R10;WHEELCHAIRS AND ACCESSORIES
+133 ;;R10 A;WHEELCHAIR
+134 ;;R10 B;CARRIERS
+135 ;;R10 C;NSC VAN MODS
+136 ;;R10 ;WHEELCHAIR
+137 ;;R20;ARTIFICIAL LEGS
+138 ;;R20 A;LEG A/K
+139 ;;R20 B;LEG B/K, PTB
+140 ;;R20 C;LEG B/K, STD
+141 ;;R20 D;LEG ALL OTHER
+142 ;;R30;ARTIFICIAL ARMS AND TERMINAL DEVICES
+143 ;;R30 ;ART ARM,TOTAL
+144 ;;R40;BRACES AND ORTHOTICS
+145 ;;R40 ;BRACE TOTAL
+146 ;;R50;SHOES/ORTHOTICS
+147 ;;R50 A;ORTH SHOE ALL
+148 ;;R50 B;SHOE MOD
+149 ;;R50 C;A/O ITEM SERV
+150 ;;R60;NEUROSENSORY AIDS
+151 ;;R60 A;AID FOR BLIND
+152 ;;R60 B;EYEGLASS RPR
+153 ;;R60 C;HEARING AID
+154 ;;R60 D;ASST LISTENING DEVICE
+155 ;;R60 E;SPEECH DEVICES
+156 ;;R70;HOME DIALYSIS EQUIPMENT
+157 ;;R70 ;HOME DIAL EQU
+158 ;;R80;MEDICAL EQUIPMENT
+159 ;;R80 A;INVALID LIFTS
+160 ;;R80 B;REPAIR TO ECU
+161 ;;R80 C;MED EQUIP A/O
+162 ;;R80 D;HME DELIVERY/PICKUP
+163 ;;R80 E;TELEHEALTH
+164 ;;R80 F;COMPUTERS
+165 ;;R90;ALL OTHER
+166 ;;R90 ;ALL OTHER
+167 ;;R90 A;SHIPPING
+168 ;;R90 B;TRAINING
+169 ;;R91;O2 & RESPIRATORY
+170 ;;R91 A;CONCENTRATOR
+171 ;;R91 B;VENTILATOR
+172 ;;R91 C;EQUIPMENT A/O
+173 ;;R91 D;SERVICE VISIT
+174 ;;R91 E;COMPRESSED O2
+175 ;;R91 F;LIQUID O2
+176 ;;R91 G;LIQUID DEL SYS
+177 ;;R91 H;RESPIRATORY EQUIP
+178 ;;R99 A;SHIPPING
+179 ;;R99 B;NONRESPONSE
+180 ;;R99 P;MISC PEDS
+181 ;;R99 X;HCPCS NOT GRP
+182 ;;R99 Z;NO HCPCS
+183 ;;QUIT
