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Try CasePilot| Short Descr | Rmv&rplc pm dul w/l vnt lead | 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 | P2E – Major procedure, cardiovascular-Pacemaker insertion | TOS Code(s) | 2 – Surgery | Added Date | 1/1/2023 | APC Status Indicator | Non-Covered Service, not paid under OPPS | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| KX | Requirements specified in the medical policy have been met |
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| 2023-01-01 | Added | Code added. |
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