Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot| Short Descr | Perc bx breast lesions stero | 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 | ASC Payment Group Code | YY – 1/01/2023 | 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 | P1A – Major procedure - breast | 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 |
| LT | Left side (used to identify procedures performed on the left side of the body) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2025-01-01 | Note | Clerical change. |
| 2023-01-01 | Added | Code added. |
Get instant expert-level medical coding assistance.