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Official Description

Injection, conivaptan hydrochloride, 1 mg
Short Descr Conivaptan hcl
Related Drugs VAPRISOL DEXTROSE IN PLASTIC CONTAINER
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
ASC Payment Group Code YY – 4/01/2017
BETOS O1E – Other drugs
TOS Code(s) 9 – Other medical items or services
Added Date 4/1/2017
APC Status Indicator Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
MUE 20
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2017-04-01 Added Code added.
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