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Try CasePilot| Short Descr | Inj, pegcetacoplan 1 mg | Related Drugs | Syfovre | 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) | J2781 | BETOS | O1E – Other drugs | TOS Code(s) | 1 – Medical care | Added Date | 7/1/2023 | Termination Date | 9/30/2023 | APC Status Indicator | Pass-Through Drugs and Biologicals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2024-01-01 | Deleted | First appearance of deletion in codebook. |
| 2023-09-30 | Deleted | Code deleted, see J2781. |
| 2023-07-01 | Added | Code added. |
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