{"aaData": [["01", "
Patient was admitted to a hospital
\n", ""], ["10", "
Patient is ambulatory
\n", ""], ["11", "
Ambulation is impaired and walking aid is used for therapy or mobility
\n", ""], ["12", "
Patient is confined to a bed or chair
\n", ""], ["13", "
Patient is confined to a room or an area without bathroom facilities
\n", ""], ["14", "
Ambulation is impaired and walking aid is used for mobility
\n", ""], ["15", "
Patient condition requires positioning of the body or attachments which would not be feasible with the use of an ordinary bed
\n", ""], ["16", "
Patient needs a trapeze bar to sit up due to respiratory condition or change body positions for other medical reasons
\n", ""], ["17", "
Patient's ability to breathe is severely impaired
\n", ""], ["18", "
Patient condition requires frequent and/or immediate changes in body positions
\n", ""], ["19", "
Patient can operate controls
\n", ""], ["02", "
Patient was bed confined before the ambulance service
\n", ""], ["20", "
Side rails are to be attached to a hospital bed owned by the beneficiary
\n", ""], ["21", "
Patient owns equipment
\n", ""], ["22", "
Mattress or side rails are being used with prescribed medically necessary hospital bed owned by the beneficiary
\n", ""], ["23", "
Patient needs lift to get in or out of bed or to assist in transfer from bed to wheelchair
\n", ""], ["24", "
Patient has an orthopedic impairment requiring traction equipment which prevents ambulation during period of use
\n", ""], ["25", "
Item has been prescribed as part of a planned regimen of treatment in patient home
\n", ""], ["26", "
Patient is highly susceptible to decubitus ulcers
\n", ""], ["27", "
Patient or a care-giver has been instructed in use of equipment
\n", ""], ["28", "
Patient has poor diabetic control
\n", ""], ["29", "
A 6-7 hour nocturnal study documents 30 episodes of apnea each lasting more than 10 seconds
\n", ""], ["03", "
Patient was bed confined after the ambulance service
\n", ""], ["30", "
Without the equipment, the patient would require surgery
\n", ""], ["31", "
Patient has had a total knee replacement
\n", ""], ["32", "
Patient has intractable lymphedema of the extremities
\n", ""], ["33", "
Patient is in a nursing home
\n", ""], ["34", "
Patient is conscious
\n", ""], ["35", "
This feeding is the only form of nutritional intake for this patient
\n", ""], ["37", "
Oxygen delivery equipment is stationary
\n", ""], ["38", "
Certification signed by the physician is on file at the supplier's office
\n", ""], ["39", "
Patient has mobilizing respiratory tract secretions
\n", ""], ["40", "
Patient or caregiver is capable of using the equipment without technical or professional supervision
\n", ""], ["04", "
Patient was moved by stretcher
\n", ""], ["41", "
Patient or caregiver is unable to propel or lift a standard weight wheelchair
\n", ""], ["42", "
Patient requires leg elevation for edema or body alignment
\n", ""], ["43", "
Patient weight or usage needs necessitate a heavy duty wheelchair
\n", ""], ["44", "
Patient requires reclining function of a wheelchair
\n", ""], ["45", "
Patient is unable to operate a wheelchair manually
\n", ""], ["46", "
Patient or caregiver requires side transfer into wheelchair, commode or other
\n", ""], ["58", "
Durable Medical Equipment (DME) purchased new
\n", ""], ["59", "
Durable Medical Equipment (DME) Is under warranty
\n", ""], ["5A", "
Treatment is rendered related to the terminal illness
\n", ""], ["60", "
Transportation was to the nearest facility
\n", ""], ["05", "
Patient was unconscious or in shock
\n", ""], ["68", "
Severe
\n", ""], ["69", "
Moderate
\n", ""], ["9D", "
Lack of appropriate facility within reasonable distance to treat patient in the event of complications
\n", ""], ["9E", "
Sudden onset of disorientation
\n", ""], ["9F", "
Sudden onset of severe, incapacitating pain
\n", ""], ["9H", "
Patient requires intensive IV therapy
\n", ""], ["9J", "
Patient requires protective isolation
\n", ""], ["9K", "
Patient requires frequent monitoring
\n", ""], ["AA", "
Amputation
\n", ""], ["AG", "
Agitated
\n", ""], ["06", "
Patient was transported in an emergency situation
\n", ""], ["AL", "
Ambulation limitations
\n", ""], ["BL", "
Bowel limitations, bladder limitations, or both (Incontinence)
\n", ""], ["BPD", "
Beneficiary is partially dependent
\n", ""], ["BR", "
Bed rest BRP (Bathroom Privileges)
\n", ""], ["BTD", "
Beneficiary is totally dependent
\n", ""], ["CA", "
Cane required
\n", ""], ["CB", "
Complete bed rest
\n", ""], ["CM", "
Comatose
\n", ""], ["CNJ", "
Cumulative injury
\n", ""], ["CO", "
Contracture
\n", ""], ["07", "
Patient had to be physically restrained
\n", ""], ["CR", "
Crutches required
\n", ""], ["DI", "
Disoriented
\n", ""], ["DP", "
Depressed
\n", ""], ["DY", "
Dyspnea with minimal exertion
\n", ""], ["EL", "
Endurance limitations
\n", ""], ["EP", "
Exercises prescribed
\n", ""], ["FO", "
Forgetful
\n", ""], ["HO", "
Hostile
\n", ""], ["HL", "
Hearing limitations
\n", ""], ["IH", "
Independent at home
\n", ""], ["08", "
Patient had visible hemorrhaging
\n", ""], ["LB", "
Legally blind
\n", ""], ["LE", "
Lethargic
\n", ""], ["MC", "
Other mental condition
\n", ""], ["NR", "
No restrictions
\n", ""], ["OL", "
Other limitation
\n", ""], ["OT", "
Oriented
\n", ""], ["PA", "
Paralysis
\n", ""], ["PW", "
Partial weight bearing
\n", ""], ["SL", "
Speech limitations
\n", ""], ["TNJ", "
Traumatic injury
\n", ""], ["09", "
Ambulance service was medically necessary
\n", ""], ["TR", "
Transfer to bed, or chair, or both
\n", ""], ["UN", "
Uncooperative
\n", ""], ["UT", "
Up as tolerated
\n", ""], ["WA", "
Walker required
\n", ""], ["WR", "
Wheelchair required
\n", ""]]}