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Try CasePilot| Short Descr | Injection, glucarpidase | Related Drugs | Voraxaze | 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 | 10/1/2012 | APC Status Indicator | Non-Covered Service, not paid under OPPS | ASC Payment Indicator | MUE | 700 | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 240 - Medications (Injections, infusions and other forms) |
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| 2024-01-01 | Note | Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers) |
| 2012-10-01 | Added | Code Added |
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