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Try CasePilot| Short Descr | Inj, melphalan flufen, 1 mg | Related Drugs | Pepaxto | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | BETOS | O1D – Chemotherapy | TOS Code(s) | 9 – Other medical items or services | Added Date | 7/1/2021 | Termination Date | 9/30/2021 | APC Status Indicator | Pass-Through Drugs and Biologicals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2022-01-01 | Deleted | First appearance of deletion in codebook. |
| 2021-09-30 | Deleted | Code deleted. See J9247. |
| 2021-07-01 | Added | Code added. |
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