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Official Description

Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed
Short Descr Rf magnetic-guide av fistula
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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