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Official Description

Insertion of implants into the soft palate; minimum of three implants
Short Descr Insert palate implants
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 – 1/01/2008
BETOS P6D – Minor procedures - other (non-Medicare fee schedule)
TOS Code(s) 2 – Surgery
Added Date 10/1/2006
APC Status Indicator Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight.
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2006-10-01 Added Code added 10/1/2006
Code
Description
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