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Try CasePilot| Short Descr | Kcentra, per i.u. | Related Drugs | Kcentra | 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) | 1 – Medical care | Added Date | 10/1/2013 | Termination Date | 6/30/2021 | APC Status Indicator | Nonpass-Through Drugs and Nonimplantable Biologicals, Including Therapeutic Radiopharmaceuticals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2021-06-30 | Deleted | Code deleted. See J7168. |
| 2013-10-01 | Added | Added |
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