Pricing Needed for CMS to Determine Proper Pricing for Seat Elevation

Please fill out the following form, it contains five data points. This should be a simple report to query from your billing system. Your data will be deidentified and compiled with all other submitted data for analysis prior to being shared with CMS. Data that is specific to your company will NOT be shared outside of NCART staff.

All E2300 codes billed between 1/1/2022-6/30/2023 *

Allowed Amount *

Base HCPCS Code *

The Payor *

State the claim was paid in (if possible)

All fields marked with * are required.

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