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Try CasePilot| Short Descr | Gallium ga-68 dotatoc | Related Drugs | Ga-68-DOTATOC | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | BETOS | O1E – Other drugs | TOS Code(s) | 9 – Other medical items or services | Added Date | 10/1/2020 | APC Status Indicator | Nonpass-Through Drugs and Nonimplantable Biologicals, Including Therapeutic Radiopharmaceuticals | ASC Payment Indicator | Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate. | MUE | 500 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2024-01-01 | Note | Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers) |
| 2020-10-01 | Added | Code added. |
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