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Try CasePilot| Short Descr | Idelvion, 1 i.u. | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | Cross-Reference(s) | J7202 | BETOS | O1E – Other drugs | TOS Code(s) | 9 – Other medical items or services | Added Date | 10/1/2016 | Termination Date | 12/31/2016 | APC Status Indicator | Pass-Through Drugs and Biologicals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2016-12-31 | Deleted | Code deleted, see J7202. |
| 2016-10-01 | Added | Code added. |
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