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Official Description

Unlisted dialysis procedure, inpatient or outpatient

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Short Descr UNLISTED DIALYSIS PROCEDURE
Medium Descr UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT
Long Descr Unlisted dialysis procedure, inpatient or outpatient
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
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)
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) P9A - Dialysis services (Medicare Fee Schedule)
MUE 1
CCS Clinical Classification 91 - Peritoneal dialysis
GC This service has been performed in part by a resident under the direction of a teaching physician
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZ Item or service expected to be denied as not reasonable and necessary
Date
Action
Notes
2023-01-01 Note Short description changed.
2011-01-01 Changed Location in hierarchy changed.
Pre-1990 Added Code added.
Code
Description
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