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Try CasePilot| Short Descr | Pild/placebo control clin tr | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 13 – Physician Fee Schedule - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) | MPI | A – Not applicable, as HCPCS priced under one methodology | ASC Payment Group Code | YY – 1/01/2015 | Processing Note | SEE 150.13 MEDICARE NATIONAL COVERAGE DETERMINATIONS MANUAL CHAPTER 1, PART 2; ALSO CR 8757, TRANSMITTAL 167 DATED MAY 16, 2014. | BETOS | P6D – Minor procedures - other (non-Medicare fee schedule) | TOS Code(s) | 1 – Medical care | Added Date | 1/1/2015 | Status Code | Restricted Coverage | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 2 - 150% payment adjustment does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study |
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| 2015-01-01 | Added | Code added 1/1/2015 |
| 2014-01-09 | Added | Added |
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