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Official Description

Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components
Short Descr Cath renal denerv ultrasnd
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
BETOS D1A – Medical/surgical supplies
TOS Code(s) 2 – Surgery
Added Date 1/1/2025
Action Code A – Add procedure or modifier code (effective 1/1/2025)
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 Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2026-01-01 Added First appearance of addition in codebook.
2025-01-01 Added Code added.
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