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Official Description

Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
Short Descr Cystoscopy prostatic imp 1-3
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 – 4/01/2014
BETOS P5E – Ambulatory procedures - other
TOS Code(s) 2 – Surgery
Added Date 4/1/2014
APC Status Indicator Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate.
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
74 Discontinued out-patient hospital/ambulatory surgery center (asc) procedure after administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may terminate a surgical or diagnostic procedure after the administration of anesthesia (local, regional block(s), general) or after the procedure was started (incision made, intubation started, scope inserted, etc). under these circumstances, the procedure started but terminated can be reported by its usual procedure number and the addition of modifier 74. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53.
GA Waiver of liability statement issued as required by payer policy, individual case
SG Ambulatory surgical center (asc) facility service
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2014-04-01 Added Added effective 4/1/2014
2014-01-01 Added Code added.
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