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Code deleted, see 64628

Official Description

Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum
Short Descr Intraosseous des lumb/sacrum
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) 64628
BETOS P5B – Ambulatory procedures - musculoskeletal
TOS Code(s) 2 – Surgery
Added Date 1/1/2019
Termination Date 12/31/2021
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
2021-12-31 Deleted Code deleted, see 64628
2019-01-01 Added Added
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