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Code deleted, see 55880

Official Description

Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance
Short Descr Ablation, hifu, prostate
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) 55880
BETOS P6C – Minor procedures - other (Medicare fee schedule)
TOS Code(s) 2 – Surgery
Added Date 7/1/2017
Termination Date 12/31/2020
APC Status Indicator Hospital Part B services paid through a comprehensive APC
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2020-12-31 Deleted Code deleted, see 55880
2017-07-01 Added Added
Code
Description
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