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Code deleted, see 43210.

Official Description

Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy
Short Descr Eps stomach plic
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) 43210
BETOS P8I – Endoscopy - other
TOS Code(s) 2 – Surgery
Added Date 4/1/2005
Termination Date 12/31/2015
APC Status Indicator Procedure or Service, Multiple Reduction Applies
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 70 - Upper gastrointestinal endoscopy, biopsy
Date
Action
Notes
2016-01-01 Deleted Code deleted, see 43210.
2013-01-01 Changed Description Changed
2005-04-01 Added Code added 4/1/2005
Code
Description
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