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Official Description

Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)
Short Descr Perc av fistula, direct
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
BETOS P5E – Ambulatory procedures - other
TOS Code(s) 2 – Surgery
Added Date 1/1/2019
Termination Date 6/30/2020
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
2020-06-30 Deleted Code deleted.
2019-01-01 Added Added
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