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Official Description

Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts
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
Date
Action
Notes
2026-01-01 Deleted First appearance of deletion in codebook.
2024-12-31 Deleted Code deleted.
2020-10-01 Added Code added.
Code
Description
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