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Official Description

Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)
Short Descr Rafscrs llfai scor >= 0
Coverage Carrier Priced
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')
BETOS M5B – Specialist - psychiatry
TOS Code(s) 1 – Medical care
Added Date 1/1/2011
Status Code Measurement Code
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 Items and Services Not Billable to the MAC
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
GP Services delivered under an outpatient physical therapy plan of care
CQ Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
KX Requirements specified in the medical policy have been met
Date
Action
Notes
2023-01-01 Changed Long Description Changed
2019-01-01 Changed Description Changed
2017-01-01 Changed Description Changed
2011-01-01 Added Added
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