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Try CasePilot| Short Descr | Endo, single, urinary tract | 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 – 1/01/2023 | BETOS | D1A – Medical/surgical supplies | TOS Code(s) | 9 – Other medical items or services | Added Date | 1/1/2023 | 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 | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| SG | Ambulatory surgical center (asc) facility service | 74 | Discontinued out-patient hospital/ambulatory surgery center (asc) procedure after administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (incision made, intubation started, scope inserted, etc). under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of modifier 74. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53. | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2023-01-01 | Added | Code added. |
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