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Official Description

Coordinated care fee, physician coordinated care oversight services
Short Descr Mccd,phys coor-care ovrsght
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 FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF C
BETOS Y2 – Other - non-Medicare fee schedule
TOS Code(s) 1 – Medical care
Added Date 10/1/2000
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
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 Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
U1 Medicaid level of care 1, as defined by each state
GQ Via asynchronous telecommunications system
U8 Medicaid level of care 8, as defined by each state
CR Catastrophe/disaster related
GC This service has been performed in part by a resident under the direction of a teaching physician
U2 Medicaid level of care 2, as defined by each state
Date
Action
Notes
2000-10-01 Added Code added 10/1/2000
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