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Official Description

Als specialized service disposable supplies; esophageal intubation
Short Descr Als esophageal intub suppls
Coverage Not payable by Medicare
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 O1A – Ambulance
TOS Code(s) D – Ambulance
Added Date 1/1/1995
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 Non-Covered Service, not paid under OPPS
MUE 0
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 239 - Transportation - patient, provider, equipment
HH Integrated mental health/substance abuse program
HN Bachelors degree level
QL Patient pronounced dead after ambulance called
RI Ramus intermedius coronary artery
SH Second concurrently administered infusion therapy
SS Home infusion services provided in the infusion suite of the iv therapy provider
Date
Action
Notes
1995-01-01 Added Code added 1/1/1995
Code
Description
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