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Try CasePilot| Short Descr | Inj pantoprazole sodium, via | 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 | 1/1/2002 | Termination Date | 6/30/2024 | APC Status Indicator | Items and Services Packaged into APC Rates | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 240 - Medications (Injections, infusions and other forms) |
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