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Official Description

Unclassified drugs or biologicals
Short Descr Unclassified drugs or biolog
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 621MMA
ASC Payment Group Code YY – 1/01/2008
BETOS O1E – Other drugs
TOS Code(s) 1 – Medical care
Added Date 1/1/2004
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
ASC Payment Indicator Unclassified drugs and biologicals; payment contractor-priced.
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 240 - Medications (Injections, infusions and other forms)
JZ Zero drug amount discarded/not administered to any patient
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
2004-01-01 Added Code added 1/1/2004
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