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Official Description

Interbody cage, anterior, lateral or posterior, personalized (implantable)
Short Descr Personalized interbody cage
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 – 10/01/2021
BETOS D1A – Medical/surgical supplies
TOS Code(s) 9 – Other medical items or services
Added Date 10/1/2021
APC Status Indicator Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2023-01-01 Changed Long Description Change
2022-01-01 Added First appearance in codebook.
2021-10-01 Added Code added.
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