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Try CasePilot| Short Descr | Cysto w/temp pros implant | 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) | 53865 | BETOS | P5E – Ambulatory procedures - other | TOS Code(s) | 2 – Surgery | Added Date | 10/1/2020 | Action Code | D – Discontinue procedure or modifier code (effective 1/1/2025) | Termination Date | 12/31/2024 | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | 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. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | SG | Ambulatory surgical center (asc) facility service |
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| 2026-01-01 | Deleted | First appearance of deletion in codebook. |
| 2024-12-31 | Deleted | Code deleted. |
| 2020-10-01 | Added | Code added. |
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