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Official Description

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a medicare qualifying clinical trial, per day
Short Descr Non-cov proc, clinical trial
Coverage Special coverage instructions apply
Pricing Indicator(s) 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Processing Note PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY; NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE.
BETOS Y2 – Other - non-Medicare fee schedule
TOS Code(s) 2 – Surgery
Added Date 1/1/2003
Status Code Excluded from Physician Fee Schedule by Regulation
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator STV-Packaged Codes
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 231 - Other therapeutic procedures
Date
Action
Notes
2003-01-01 Added Code added 1/1/2003
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