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Try CasePilot| Short Descr | Integra meshed bil wound mat | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 621MMA | BETOS | D1A – Medical/surgical supplies | TOS Code(s) | 9 – Other medical items or services | Added Date | 7/1/2009 | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | MUE | 500 | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 243 - DME and supplies |
| JC | Skin substitute used as a graft |
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| 2009-07-01 | Added | Code added 7/1/2009 |
| 2007-01-09 | Added | - |
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