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Official Description

Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)
Short Descr Cath, bladed, vasc prep
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(T)
ASC Payment Group Code YY – 1/01/2024
BETOS D1A – Medical/surgical supplies
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2024
APC Status Indicator Pass-Through Device Categories
ASC Payment Indicator OPPS pass-through device paid separately when provided integral to a surgical procedure on ASC list; payment contractor-priced.
MUE 4
MUE Not applicable/unspecified.
OTS Orthotic No
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
LT Left side (used to identify procedures performed on the left side of the body)
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2024-01-01 Added Code added.
Code
Description
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