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Try CasePilot| Short Descr | Probe, robotic, water-jet | 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) | 9 – Other medical items or services | Added Date | 1/1/2020 | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2020-01-01 | Added | Code added. |
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