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Official Description

Magnetic resonance angiography without contrast, spinal canal and contents
Short Descr Mra, w/o dye, spinal canal
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
ASC Payment Group Code YY – 10/01/2010
BETOS I2D – Advanced imaging - MRI/MRA: other
TOS Code(s) 4 – Diagnostic radiology
Added Date 10/1/2010
APC Status Indicator Codes That May Be Paid Through a Composite APC
ASC Payment Indicator Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight.
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 198 - Magnetic resonance imaging
Date
Action
Notes
2010-10-01 Added Code added 10/1/2010
2010-06-03 Added Code added.
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