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Official Description

Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
Short Descr Fluo bile duct imaging w/icg
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
BETOS I4B – Imaging/procedure - other
TOS Code(s) 4 – Diagnostic radiology
Added Date 4/1/2021
APC Status Indicator Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2021-04-01 Added Code added.
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