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Official Description

Bupivacaine, collagen-matrix implant, 1 mg
Short Descr Bupivacaine implant, 1 mg
Related Drugs XARACOLL
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 – 1/01/2022
BETOS O1E – Other drugs
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2022
APC Status Indicator Non-Opioid Drugs and Biologicals For Post-Surgical Pain Relief
ASC Payment Indicator Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.
MUE 300
MUE Not applicable/unspecified.
OTS Orthotic No
JZ Zero drug amount discarded/not administered to any patient
LT Left side (used to identify procedures performed on the left side of the body)
Date
Action
Notes
2022-01-01 Added Code added.
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Description
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Description
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