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Try CasePilot| Short Descr | Mri w/o cont, breast, bi | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t)(2) | Cross-Reference(s) | 77047 | BETOS | I2D – Advanced imaging - MRI/MRA: other | TOS Code(s) | 4 – Diagnostic radiology | Added Date | 10/1/2001 | Termination Date | 12/31/2018 | APC Status Indicator | Codes That May Be Paid Through a Composite APC | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 198 - Magnetic resonance imaging |
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| 2018-12-31 | Deleted | Code deleted, see 77047. |
| 2001-10-01 | Added | Code added 10/1/2001 |
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