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Official Description

Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel
Short Descr Perc d-e cor revasc chro sin
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
Processing Note PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105.
BETOS P2F – Major procedure, cardiovascular-Other
TOS Code(s) 2 – Surgery
Added Date 1/1/2013
APC Status Indicator Hospital Part B services paid through a comprehensive APC
MUE 2
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 45 - Percutaneous transluminal coronary angioplasty (PTCA)
LD Left anterior descending coronary artery
Date
Action
Notes
2013-01-01 Added Added, replaced G0291
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