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Try CasePilot| Short Descr | Deb bone 20 cm2 w/drug dev | Coverage | Carrier Priced | Pricing Indicator(s) | 11 – Physician Fee Schedule - Price established using national RVUs | MPI | A – Not applicable, as HCPCS priced under one methodology | Processing Note | THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION. | BETOS | P5A – Ambulatory procedures - skin | TOS Code(s) | 2 – Surgery | Added Date | 1/1/2023 | APC Status Indicator | Non-Covered Service, not paid under OPPS | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2025-01-01 | Note | Clerical change. Long description corrected retroactively to 1/1/2024. |
| 2023-01-01 | Added | Code added. |
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