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Try CasePilot| Short Descr | Iodine i-131 iobenguane, tx | Related Drugs | Azedra | 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) | A9590 | BETOS | I1E – Standard imaging - nuclear medicine | TOS Code(s) | 4 – Diagnostic radiology | Added Date | 1/1/2019 | Termination Date | 12/31/2019 | APC Status Indicator | Pass-Through Drugs and Biologicals | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2019-12-31 | Deleted | Code deleted, see A9590. |
| 2019-01-01 | Added | Added |
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