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Official Description

Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
Short Descr Tee w or w/o fol w/cont,cong
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)(2)
BETOS I3C – Echography/ultrasonography - heart
TOS Code(s) 4 – Diagnostic radiology
Added Date 1/1/2008
APC Status Indicator Procedure or Service, Not Discounted when Multiple
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 193 - Diagnostic ultrasound of heart (echocardiogram)
Date
Action
Notes
2008-04-01 Changed Short and long descriptors revised effective 4/1/2008.
2008-01-01 Added Code added 1/1/2008
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