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Official Description

Injection, oliceridine, 0.1 mg
Short Descr Inj, oliceridine 0.1 mg
Related Drugs OLINVYK
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 – 10/01/2022
BETOS D1A – Medical/surgical supplies
TOS Code(s) 1 – Medical care
Added Date 10/1/2022
APC Status Indicator Pass-Through Drugs and Biologicals
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
Date
Action
Notes
2023-01-01 Added First appearance in codebook.
2022-10-01 Added Code added.
Code
Description
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